Heterocyclic Aromatic Compounds Useful As Growth Hormone Secretagogues

ABSTRACT

Novel heterocyclic aromatic compounds are provided that are useful in stimulating endogenous production or release of growth hormone, said compounds having the general structure of formula I 
     
       
         
         
             
             
         
       
     
     wherein R 1 , R 1 ′, R 2 , R 3 , R 4 , Xa, Y, Z and n are as described herein. The compounds provided herein are useful in treating obesity, osteoporosis (improving bone density) and in improving muscle mass and muscle strength.

RELATED APPLICATIONS

This application is a divisional of U.S. application Ser. No. 11/272,898, filed Nov. 14, 2005, which is a divisional of U.S. application Ser. No. 10/653,410, filed Sep. 2, 2003, now U.S. Pat. No. 7,166,596, which claims the benefit of U.S. Provisional Application Nos. 60/408,099, filed Sep. 4, 2002, and 60/491,645, filed Jul. 31, 2003. The entire contents of all of the above-mentioned applications are herein incorporated by reference.

FIELD OF THE INVENTION

The present invention relates to novel heterocyclic aromatic compounds which stimulate endogenous production and/or release of growth hormone. Further, the present invention relates to methods for using such compounds and to pharmaceutical compositions containing such compounds.

BACKGROUND OF THE INVENTION

Growth hormone is important not only for linear body growth, but is also important for the maintenance of body composition, metabolism and heart function in adult life. In fact, treatment with growth hormone is employed in both adults and children suffering from growth hormone deficiency. Treatment with growth hormone has been shown to reduce body fat, increase fat-free mass, increase muscle strength, improve bone mass and well-being. These beneficial effects associated with growth hormone treatment suggest that growth hormone treatment may further be useful for the treatment of osteoporosis, frailty in the elderly, complicated fracture, cardiomyopathy, obesity and some nitrogen-wasting conditions resulting from, for example, AIDS, chronic dialysis, catabolic disease and glucocorticoid treatment. Johan Svensson, Exp. Opin. Ther. Patents, 2000 10(7) 1071-1080; Ankersen et al., DDT, 1999, 4(11) 497-506. Moreover, growth hormone therapy is also been explored with a view towards reversing changes associated with aging.

Current methods for administering growth hormone are invasive in that synthetic growth hormone must be administered by daily injection. Therefore, if an orally administered secretagogue could be introduced that is safe, efficacious, well tolerated, it would provide an attractive treatment alternative to current growth hormone treatment.

Growth hormone secretagogues are synthetically produced peptides and non-peptides that stimulate the endogenous production and/or release of growth hormone by acting on one or more specific receptors at both pituitary and hypothalamic levels. Accordingly, orally active growth hormone secretagogues could offer attractive alternatives to traditional growth hormone therapy, thus providing a more convenient means to treat a wider array of diseases or disorders associated with growth hormone levels in patient circulation.

SUMMARY OF THE INVENTION

In accordance with the present invention, novel heterocyclic aromatic compounds are provided that have the general structure of formula I

wherein

Xa is 2 to 4 fused or spiro cycloalkyl, heterocycle, aryl or heteroaryl rings, wherein one or more of said rings may optionally be substituted with one to five substituents selected from the group consisting of Ra and Rb;

R₁ is a substituted or unsubstituted functional group selected from the group consisting of alkyl, aryl, alkenyl, alkynyl, arylalkyl, cycloalkyl, heterocycle, alkoxyalkyl, arylalkyloxyalkyl, aryloxyalkyl, heteroaryl, cycloalkylalkoxyalkyl, heteroarylalkoxy, heteroarylalkyl, heterocycloalkyl and heterocycloalkyl;

R₂, R₃ and R₄ are each independently a substituted or unsubstituted functional group selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, aryl, arylalkyl, cycloalkyl, heterocycle, alkoxyalkyl, arylalkyloxyalkyl, aryloxyalkyl, heteroaryl, cycloalkylalkoxyalkyl, heteroarylalkyl and heterocycloalkyl, or R₃ and R₄ taken together can form a 3 to 8 membered cycloalkyl or heterocyclic ring, or one or more of R₃ and R₄ can be taken together with one or more of Y and Z to form a mono- or bicyclic cycloalkyl or heterocyclic ring;

R₁′ is a substituted or unsubstituted functional group selected from the group consisting of hydrogen, alkyl, cycloalkyl, heterocycle, aryl and heteroaryl;

Y is a linking group selected from the group consisting of alkylene, alkenylene, alkynylene, arylene and heteroarylene, said linking group may optionally be substituted with one or more functional groups selected from the group consisting of alkyl, aryl, cycloalkyl, heterocycle, alkoxyalkyl, heteroaryl, arylalkyl, arylalkyloxyalkyl, aryloxyalkyl, cycloalkylalkoxyalkyl, heteroarylalkyl and heterocycloalkyl, halogen, —OR₅, —OC(O)R₅, —CF₃, —OCF₃, —N(R₅)C(O)R₅′ and —NR₅R₅′;

R₅ and R₅′ for each occurrence are each independently selected from the group consisting of hydrogen, alkyl, cycloalkyl, heterocycle and aryl, wherein R₅ and R₅′ for each occurrence may optionally be substituted with one or more Rb;

Ra and Rb for each occurrence are each independently selected from the group consisting of alkyl, alkenyl, alkynyl, halogen, cyano, carbonyl, —CN, aryl, arylalkyl, arylalkenyl, arylalkynyl, cycloalkyl, alkoxy, alkoxyalkyl, aryloxy, aryloxyalkyl, heterocycle, heteroaryl, heteroarylalkyl, —OR₂, —NR₅R₅′, —CF₃, —SO₂R₆, —SO₂NR₆R₆′, —(CH₂)_(m)R₈ and R₉;

R₆ and R₆′ for each occurrence are each independently selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, alkylthioalkyl, alkoxyalkyl, aryl, arylalkyl, heterocycle, heteroaryl, heteroarylalkyl, heterocycloalkyl and cycloalkyl, wherein R₆ and R₆′ for each occurrence may optionally be substituted with 1 to 3 substituents selected from the group consisting of halogen, —OR₂, alkoxy, heterocycloalkyl, —NR₅C(O)NR₅R₅′, —C(O)NR₅R₅′, —NR₅C(O)R₅′, —CN, —NR₅SO₂R₅′, —OC(O)R₅, —SO₂NR₅R₅′, —SOR₇, —COOH and —C(O)OR₇, or R₆ and R₆′ taken together can be cyclized to form —(CH₂)_(q)X(CH₂)_(s)—;

R₇ for each occurrence is independently selected from the group consisting of C₁ to C₆ alkyl, aryl and heteroaryl, wherein R₇ may optionally be substituted with —(CH₂)_(w)OH;

R₈ is selected from the group consisting of alkoxy, alkoxycarbonyl, —C(O)NR₆R₆′, —NR₅R₅′, —C(O)R₆, —NR₅C(O)NR₅R₅′ and —N-heteroaryl;

R₉ is selected from the group consisting of heterocycloalkyl, heteroaryl, —CN, —(CH₂)_(p)N(R₆)C(O)R₆′, —(CH₂)_(p)CN, —(CH₂)_(p)N(R₆)C(O)OR₆′, —(CH₂)_(p)N(R₆)C(O)NR₆R₆′, —(CH₂)_(p)N(R₆)SO₂R₆, —(CH₂)_(p)C(O)NR₆R₆′, —(CH₂)_(p)C(O)OR₆, —(CH₂)_(p)OC(O)OR₆, —(CH₂)_(p)OC(O)R₆, —(CH₂)_(p)OC(O)NR₆R₆′, —(CH₂)_(p)N(R₆)SO₂NR₆R₆′, —(CH₂)_(p)OR₆, —(CH₂)_(p)OC(O)N(R₆)(CH₂)_(m)OH—(CH₂)_(p)SOR₆ and —(CH₂)_(p)OCH₂C(O)N(R₆)(CH₂)_(m)OH;

X is selected from the group consisting of —CR₅R₅′—, —O—, —S—, —SO—, —SO₂—, —NC(O)OR₇—, —NC(O)NR₅— and —NR₅—;

Z is nitrogen;

m is an integer between 1 and 6;

n is an integer from 1 to 6;

p is an integer from 0 to 5;

w is an integer between 0 and 5; and

q and s are each independently an integer between 1 and 3, with the proviso that R₅, R₅′, R₆ or R₆′ cannot be hydrogen when either is connected to a carbonyl group (e.g., —C(O)R₆) or sulfone group (e.g., —SO₂R₆).

The definition of formula I above is inclusive of all prodrugs, prodrug esters, stereoisomers and pharmaceutically acceptable salts of formula I.

Compounds of formula I demonstrate activity as growth hormone secretagogues, that is they stimulate endogenous production and/or release of growth hormone and are useful in the treatment of diseases or disorders associated with growth hormone levels, such as those diseases or disorders disclosed herein.

The present invention provides for compounds of formula I, pharmaceutical compositions employing such compounds and for methods of using such compounds. In particular, the present invention provides a pharmaceutical composition comprising a therapeutically effective amount of a compound of formula I, alone or in combination with a pharmaceutically acceptable carrier.

Moreover, in accordance with the present invention, a method is provided for increasing levels of endogenous growth hormone or increasing the endogenous production or release of growth hormone, wherein a therapeutically effective amount of a compound of formula I is administered to a mammalian, e.g., human, patient in need of treatment.

Furthermore, in accordance with the present invention, a method is provided for preventing or treating diseases or disorders associated with mammalian growth hormone levels, such as described herein, wherein a therapeutically effective amount of a compound of formula I is administered to a mammalian, i.e., human, patient in need of treatment.

The compounds of the invention can be used alone, in combination with other compounds of the present invention, or in combination with one or more other agent(s) active in the therapeutic areas described herein.

Further, the present invention provides a method for preventing, inhibiting or treating the diseases as defined above and hereinafter, wherein a therapeutically effective amount of a combination of a compound of formula I and another compound of formula I and/or at least one other type of therapeutic agent, is administered to a mammalian, i.e., human patient in need of treatment.

Preferred are compounds of formula I wherein Xa has the structure

wherein

Q₁ and Q₂ are each independently a cycloalkyl, heterocyclic, aryl or heteroaryl ring, wherein Q₁ may be substituted with 1 to four substituents selected from the group consisting of Ra and Rb, and Q₂ may be substituted with 1 to four substituents selected from the group consisting of Ra, Rb and Q₃;

Q₃ is a 3 to 8 membered fused or spiral cycloalkyl, heterocyclic, aryl or heteroaryl ring, wherein Q₃ may optionally be substituted with 1 to 5 substituents selected from the group consisting of Ra, Rb and Q₄; and

Q₄ is a 3 to 8 membered fused or spiral cycloalkyl, heterocyclic, aryl or heteroaryl ring, wherein Q₄ may optionally be substituted with 1 to 5 substituents selected from the group consisting of Ra and Rb;

A is N or CR₁₁;

B is N or CR₁₁; and

R₁₁ is H or a bond.

Further embodiments include compounds of formula I wherein Xa has the structure

Although the preferred Xa structures disclosed above illustrate one or more Ra and/or Rb substituents on any particular cycloalkyl, aryl, heteroaryl or heterocycle ring, the preferred Xa structures are not limited to the specific Ra/Rb substitution illustrated above, nor is an Ra and/or Rb group needed. Rather, the presence of the Rb and/or Ra substituents in the preferred Xa structures, the subsequent Schemes and the claims hereafter, indicate that one or more Ra/Rb group(s) may optionally be attached at any available position of attachment upon the ring to which an Rb/Rb group is associated. Therefore, even though the preferred Xa structures, Schemes and claims hereinafter may reference a particular embodiment, it should be understood that various other modifications, such as the substitution of one or more Rb and/or Ra groups, or other modifications and therapeutically equivalent compounds known to those skilled in the art, may be employed within the scope and spirit of the compounds claimed herein.

Preferred are compounds of formula I wherein when Ra or Rb are R₉, R₆ is heterocycle or alkyl, optionally substituted with hydroxyl or halogen.

Preferred are compounds of formula I wherein when Ra or Rb are R₉, R₆ and R₆′ are independently hydrogen, alkyl, or cycloalkyl, where the alkyl or cycloalkyl is optionally substituted with —C(O)OR₇ or —C(O)NR₅R₅′, or R₆ and R₆′ taken together can be cyclized to form —(CH₂)_(q)X(CH₂)_(s)—.

Also preferred are compounds of formula I wherein when Ra or Rb are R₉, R₉ is (CH₂)_(p)C(O)OR₆, (CH₂)_(p)OC(O)R₆, or (CH₂)_(p)OC(O)N(R₆)(CH₂)_(m)OH.

Also preferred are compounds of formula I wherein R₉ is —(CH₂)_(p)N(R₆)C(O)OR₆′, —(CH₂)_(p)N(R₆)C(O)NR₆R₆′, or (CH₂)_(p)OC(O)NR₆R₆′, where R₆ and R₆′ are independently hydrogen or alkyl, where the alkyl is optionally substituted with —C(O)NR₅R₅′, where R₅ and R₅′ are independently hydrogen or alkyl.

Further preferred embodiments include compounds of formula I having the structure:

Additional preferred embodiments include compounds of formula I having the structure:

The compounds of this invention all have at least one asymmetric center as noted by the asterisk in structural formula I. Additional asymmetric centers may be present on the molecule depending upon the nature of the various substituents on the molecule. Each such asymmetric center will produce two optical isomers and it is intended that all such optical isomers, as separated, pure or partially purified optical isomers or racemic mixtures thereof, be included within spirit and scope of the present invention. In the case of the asymmetric center represented by the asterisk in formula I, the more active and thus more preferred configuration is R as determined by the R/S rules. Isomers may be separated by conventional methods, for example, chromatographic or fractional crystallization.

DETAILED DESCRIPTION OF THE INVENTION

The following abbreviations are employed herein:

-   Boc=tert-butoxycarbonyl -   CBZ=benzyloxycarbonyl (or carbobenzoxy) -   DIBAL=diisobutylaluminum hydride -   DMAP=4-(dimethylamino)pyridine -   DMF=N,N-dimethylformamide -   EDAC=1-(3-dimethylaminopropyl)-3-ethylcarbodiimide hydrochloride -   EtOAc=ethyl acetate -   HOBT=hydroxybenztriazole -   HPLC=high performance liquid chromatography -   LC/MS=high performance liquid chromatography/mass spectrometry -   MS or Mass Spec=mass spectrometry -   Pd/C=palladium on activated charcoal -   TFA=trifluoroacetic acid -   YMC=trademark of YMC Co, Ltd., Kyoto, Japan -   g=gram(s) -   h or hr=hour(s) -   min=minute(s) -   ml milliliter -   mg=milligram(s) -   mol=moles -   mmol=millimole(s) -   nM=nanomolar -   r.t.=room temperature -   Et=ethyl -   i-Pr=isopropyl -   Me=methyl

The following definitions apply to the terms as used throughout this specification, unless otherwise limited in specific instances.

Unless otherwise indicated, the term “alkyl” as employed herein alone or as part of another group includes both straight and branched chain hydrocarbons, containing 1 to 40 carbons, preferably 1 to 20 carbons, more preferably 1 to 6 carbons, in the normal chain, such as methyl, ethyl, propyl, isopropyl, butyl, t-butyl, isobutyl, pentyl, hexyl, isohexyl, heptyl, 4,4-dimethylpentyl, octyl, 2,2,4-trimethylpentyl, nonyl, decyl, undecyl, dodecyl, the various branched chain isomers thereof, and the like. Further, alkyl groups, as defined herein, may optionally be substituted on any available carbon atom with one or more functional groups commonly attached to such chains, such as, but not limited to alkyl, aryl, alkenyl, alkynyl, hydroxy, arylalkyl, cycloalkyl, cycloalkylalkyl, alkoxy, arylalkyloxy, alkanoyl, amino, halo, thio, cyano, carboxyl, carbonyl

amino, amido, haloaryl, CF₃, OCF₃, aryloxy, heteroaryl, cycloalkylalkoxyalkyl, cycloheteroalkyl and the like to form alkyl groups such as trifluoro methyl, 3-hydroxyhexyl, 2-carboxypropyl, 2-fluoroethyl, carboxymethyl, cyanobutyl and the like.

Unless otherwise indicated, the term “cycloalkyl” as employed herein alone or as part of another group includes saturated or partially unsaturated (containing 1 or 2 double bonds) cyclic hydrocarbon groups containing 1 to 3 rings, including monocyclic alkyl, bicyclic alkyl and tricyclic alkyl, containing a total of 3 to 20 carbons forming the rings, preferably 4 to 10 carbons, forming the ring and which may be fused to 1 aromatic ring as described for aryl, which include cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, cyclooctyl, cyclodecyl, cyclododecyl, cyclohexenyl,

any of which groups may be optionally substituted with 1 to 3 substituents as defined above for alkyl.

The term “aryl” as employed herein alone or as part of another group refers to monocyclic and bicyclic aromatic groups containing 6 to 10 carbons in the ring portion (such as phenyl or naphthyl) and may optionally include one to three additional rings fused to “aryl” (such as aryl, cycloalkyl, heteroaryl or cycloheteroalkyl rings) and may be optionally substituted through any available carbon atoms with 1 or more groups selected from hydrogen, halo, alkyl, haloalkyl, alkoxy, haloalkoxy, alkenyl, trifluoromethyl, trifluoromethoxy, alkynyl, cycloalkylalkyl, fluorenyl, cycloheteroalkyl, cycloheteroalkylalkyl, aryl, heteroaryl, arylalkyl, aryloxy, aryloxyalkyl, arylalkoxy, arylthio, arylazo, heteroarylalkyl, heteroarylalkenyl, heteroarylheteroaryl, heteroaryloxy, hydroxy, nitro, oxo, cyano, amino, substituted amino wherein the amino includes 1 or 2 substituents (which are alkyl, aryl or any of the other aryl compounds mentioned in the definitions), thiol, alkylthio, arylthio, heteroarylthio, arylthioalkyl, alkoxyarylthio, alkylcarbonyl, arylcarbonyl, alkylaminocarbonyl, arylaminocarbonyl, alkoxycarbonyl, aminocarbonyl, alkylcarbonyloxy, arylcarbonyloxy, alkylcarbonylamino, arylcarbonylamino, arylsulfinyl, arylsulfinylalkyl, arylsulfonylamino or arylsulfonaminocarbonyl, or any of alkyl substituents as set out above.

The term “arylalkyl” as used herein alone or as part of another group refers to alkyl groups as defined above having an aryl substituent, such as benzyl, phenethyl or naphthylpropyl, wherein said aryl and/or alkyl groups may optionally be substituted as defined above.

The term “alkoxy” or “aryloxy” as employed herein alone or as part of another group includes an alkyl or aryl group as defined above linked through an oxygen atom.

Unless otherwise indicated, the term “alkenyl” as used herein by itself or as part of another group refers to straight or branched chain radicals of 2 to 20 carbons, preferably 3 to 12 carbons, and more preferably 2 to 6 carbons in the normal chain, which include one or more double bonds in the normal chain, such as vinyl, 2-propenyl, 3-butenyl, 2-butenyl, 4-pentenyl, 3-pentenyl, 2-hexenyl, 3-hexenyl, 2-heptenyl, 3-heptenyl, 4-heptenyl, 3-octenyl, 3-nonenyl, 4-decenyl, 3-undecenyl, 4-dodecenyl, 4,8,12-tetradecatrienyl, and the like, and which may be optionally substituted with one or more functional groups as defined above for alkyl.

Unless otherwise indicated, the term “alkynyl” as used herein by itself or as part of another group refers to straight or branched chain radicals of 2 to 20 carbons, preferably 2 to 12 carbons and more preferably 2 to 8 carbons in the normal chain, which include one or more triple bonds in the normal chain, such as 2-propynyl, 3-butynyl, 2-butynyl, 4-pentynyl, 3-pentynyl, 2-hexynyl, 3-hexynyl, 2-heptynyl, 3-heptynyl, 4-heptynyl, 3-octynyl, 3-nonynyl, 4-decynyl, 3-undecynyl, 4-dodecynyl and the like, and which may be optionally substituted with one or more functional groups as defined above for alkyl.

The term “alkylene” as employed herein alone or as part of another group refers to alkyl linking groups above having single bonds for attachment to other groups at two different carbon atoms and may optionally be substituted as defined above for “alkyl”.

The terms “alkenylene” and “alkynylene” as employed herein alone or as part of another group refer to alkenyl and alkynyl linking groups, having single bonds for attachment at two different carbon atoms and may optionally be substituted as defined above for “alkyl”. The term “halogen” or “halo” as used herein alone or as part of another group refers to chlorine, bromine, fluorine and iodine.

The term “heteroaryl” as used herein refers to a 5-, 6- or 7-membered aromatic heterocyclic ring which contains one or more heteroatoms selected from nitrogen, sulfur, oxygen and/or a SO or SO₂ group. Such rings may be fused to another cycloalkyl, cycloheteroalkyl, aryl or heteroaryl ring and include possible N-oxides. Optionally a heteroaryl group may be substituted with one or more functional groups commonly attached to such chains, such as those described for alkyl.

The term “heterocyclo”, “heterocycle” or “heterocyclic”, as used herein, represents an unsubstituted or substituted stable 4-, 5-, 6- or 7-membered monocyclic ring system which may be saturated or unsaturated, and which consists of carbon atoms and from one to four heteroatoms selected from N, O, S and or a SO or SO₂ group, wherein the nitrogen and sulfur heteroatoms may optionally be oxidized, and the nitrogen heteroatom may optionally be quaternized. The heterocyclic ring may be attached at any heteroatom or carbon atom which results in the creation of a stable structure. Examples of such heterocyclic groups include, but is not limited to, piperidinyl, piperazinyl, oxopiperazinyl, oxopiperidinyl and oxadiazolyl. Optionally a heterocyclo group may be substituted with one or more functional groups, such as those described for alkyl.

The term “heterocycloalkyl” or “heteroarylalkyl” as used herein alone or as part of another group refers to a heterocyclo or heteroaryl group respectively, linked through an alkyl group.

The term “alkoxyalkyl” or “aryloxyalkyl” as used herein alone or as part of another group refers to a alkoxy or aryloxy group respectively, linked through an alkyl group.

The term “heteroarylalkoxy” as used herein alone or as part of another group refers to a heteroaryl group linked through an alkoxy group.

As used herein alone or as part of another group, the term “cycloalkylalkoxyalkyl” and “arylalkyloxyalkyl” refers to a cycloalkyl group and an aryl group respectively, linked through an alkoxy group, that is in turn linked through an alkyl group.

The term “arylene” or “heteroarylene” as used herein alone or as part of another group, refers to a alkylene, alkenylene or alkynylene linking group as defined above, wherein said alkylene, alkenylene or alkynylene linking group contains an aryl (Ar) or heteroaryl (Het) group in the carbon chain. Examples include, but are not limited to —(CH₂)₂-Ar-(CH₂)₂— or —(CH₂)₂-Het-(CH₂)₂—.

The term “carbonyl,” as used herein, refers to a —C(O)— group or when referred to as a possible substitutent, refers to a (═O) group attached to any available carbon atom with in the functional group or linking group being substituted.

The term “phenoxy” as used herein, refers to a phenyl substituent linked through and oxygen atom. Optionally the phenyl ring portion a phenoxy group may be substituted with one or more functional groups, such as described for aryl.

An administration of a therapeutic agent of the invention includes administration of a therapeutically effective amount of the agent of the invention. The term “therapeutically effective amount” as used herein refers to an amount of a therapeutic agent to treat or prevent a condition treatable by administration of a composition of the invention. That amount is the amount sufficient to exhibit a detectable therapeutic or preventative or ameliorative effect. The effect may include, for example, treatment or prevention of the conditions listed herein. The precise effective amount for a subject will depend upon the subject's size and health, the nature and extent of the condition being treated, recommendations of the treating physician, and the therapeutics or combination of therapeutics selected for administration. Thus, it is not useful to specify an exact effective amount in advance.

Any compound that can be converted in vivo to provide the bioactive agent (i.e., the compound of formula I) is a prodrug within the scope and spirit of the invention.

The term “prodrug esters” as employed herein includes esters and carbonates formed by reacting one or more hydroxyls of compounds of formula I with alkyl, alkoxy, or aryl substituted acylating agents employing procedures known to those skilled in the art to generate acetates, pivalates, methylcarbonates, benzoates and the like.

Various forms of prodrugs are well known in the art and are described in:

-   a) The Practice of Medicinal Chemistry, Camille G. Wermuth et al.,     Ch. 31, (Academic Press, 1996); -   b) Design of Prodrugs, edited by H. Bundgaard, (Elsevier, 1985); and -   c) A Textbook of Drug Design and Development, P. Krogsgaard-Larson     and H. Bundgaard, eds. Ch 5, pgs 113-191 (Harwood Academic     Publishers, 1991). Said references are incorporated herein by     reference.

All stereoisomers of the compounds of the instant invention are contemplated, either in admixture or in pure or substantially pure form. The compounds of the present invention can have asymmetric centers at any of the carbon atoms including any one of the R substituents. Consequently, compounds of formula I can exist in enantiomeric or diastereomeric forms or in mixtures thereof. The processes for preparation can utilize racemates, enantiomers or diastereomers as starting materials. When diastereomeric or enantiomeric products are prepared, they can be separated by conventional methods for example, chromatographic techniques or fractional crystallization.

The pharmaceutically acceptable salts of the compounds of formula I of the invention include alkali metal salts such as lithium, sodium or potassium, alkaline earth metal salts such as calcium or magnesium, as well as zinc or aluminum and other cations such as ammonium, choline, diethanolamine, ethylenediamine, t-butylamine, t-octylamine, dehydroabietylamine, as well as pharmaceutically acceptable anions such as chloride, bromide, iodide, tartrate, acetate, methanesulfonate, maleate, succinate, glutarate, stearate and salts of naturally occurring amino acids such as arginine, lysine, alanine and the like, and prodrug esters thereof.

General Synthetic Schemes

The compounds of the present invention may be prepared according to the following general synthetic reaction schemes as well as relevant published literature procedures that may be used by one skilled in the art. Exemplary reagents, procedures and conditions for these reactions appear hereinafter and in the working examples. Starting materials are commercially available or can be readily prepared by one of ordinary skill in the art using known methods. Unless otherwise specified the various substituents of the compounds are defined in the same manner as the formula I.

High Speed Analoging (HSA) may be employed in the preparation of compounds, for example, where the intermediates possess an amine position or activated aromatic position, such as the halogenated Q1 and Q2.

Scheme I describes a general synthetic sequence for the preparation of the compounds of formula I. During the preparation of compounds of formula I, one or more protecting groups might be used, reaction conditions for protection and deprotection may be found in the ‘Protective Groups in Organic Synthesis” Greene et al., John Wiley and Sons Inc, 1991, or other methods used by one of ordinary skill in the art.

Compounds of formula I can be prepared from a compound of formula II and amine XXXII using an appropriate carboxylic acid activating reagent in an inert solvent. Exemplary carboxylic acid activating agents include isobutylchloroformate, carbonyldiimidazole, dicyclohexylcarbodiimide, pentofluorophenol trifluoroacetate, or 1-(3-dimethylaminopropyl)-3-ethylcarbodiimide. Exemplary inert solvents include ethers, dioxane, tetrahydrofuran, N,N-dimethylformamide, acetonitrile, or methylene chloride. If R₃ and/or R₄ are an amine protecting group, such as Boc-, CBZ or Trityl, they will be deprotected to afford the final products. Reaction conditions for deprotection may be founds in the ‘Protective Groups in Organic Synthesis” Greene et al., John Wiley and Sons Inc, 1991, or other methods used by one of ordinary skill in the art.

Compound XXXII can be prepared by the deprotection of compound IV where PG is an appropriate amino protecting group such as Boc-, CBZ or Trityl, etc. Exemplary deprotection reagents for Boc- are hydrogen chloride in dioxane, TFA in dichloromethane, etc.; exemplary deprotection for CBZ is catalytic hydrogenation, exemplary deprotection for Trityl is hydrogen chloride in acetone or tetrahydrofuran.

Compound XXXIII can be prepared from compound XXXIV. When C—O is a hydroxyl group in compound XXXIV, it can be converted to an azide group followed by reduction to give the amino group in compound XXXIII. (for an example, see Lautens et al, J. Org. Chem. (1997) 62, 5246-5247). When C—O is a carbonyl group, it can be reduced to a hydroxyl group then converted to the amino group in compound XXXIII. Alternatively, it can be converted to an O-methyl oxime, then followed by reduction to give the amino group in compound XXXIII. Reduction of O-methyl oxime to amine can be carried out with borane tetrahydrofuran complex or other methods used by one of ordinary skill in the art.

Compound XXXIV can be prepared from reaction of compound XXXVI and compound XXXV. Compounds XXXV [Y=H, SPh, Cl, NMe(OMe)] can be prepared by one of the ordinary skill in the art. Compounds XXXVI (M=Li, MgBr, MgCl, ZnBr, Znl) is an organometalic intermediate, which can be prepared from an appropriate precursor (X=B, I, Cl). or other methods used by one of ordinary skill in the art. Organic zinc reagents can be prepared via treatment of arylbromide or aryliodide with Rieke® zinc metal as described in J. Org. Chem. (1991), 56, 1445 or Tetrahedron (1997), 53, 1925. Alternatively, it can also be prepared via treatment of arylbromide or aryliodide with n-BuLi or tert-BuLi followed by addition of zinc bromide or zinc iodide.

Compounds of the formula Ia can be prepared via the aminolysis of a compound of formula II using an appropriate carboxylic acid activating reagent and amine III in an inert solvent. Exemplary carboxylic acid activating agents include isobutylchloroformate, carbonyldiimidazole, dicyclohexylcarbodiimide, pentofluorophenol trifluoroacetate, or 1-(3-dimethylaminopropyl)-3-ethylcarbodiimide. Exemplary inert solvents include ethers, including tetrahydrofuran and dioxane, N,N-dimethylformamide, acetonitrile, or methylene chloride. If R₃ and/or R₄ are an amine-protecting group, such as Boc-, or CBZ, they will be deprotected to afford the final products. Deprotections are done by one of ordinary skill in the art as described in the following.

Compound III can be prepared by the deprotection of compound IV where G is an appropriate amino protecting group such as Boc-, CBZ, etc., as commonly used by one of ordinary skill in the art. Exemplary deprotection reagents for Boc- are hydrogen chloride in dioxane, TFA, etc; exemplary deprotection for CBZ is catalytic hydrogenation.

Compound IV can be prepared from compound V via a dehydrating process. Exemplary dehydrating agents include POCl₃, SOCl₂, HCl, HOAc and Mitsunobu reactions.

Compound V can be prepared from compounds VII via aminolysis using an appropriate carboxylic acid activating reagent and amine VI in an inert solvent. Exemplary carboxylic acid activating agents include isobutylchloroformate, carbonyldiimidazole, dicyclohexylcarbodiimide, pentofluorophenol trifluoroacetate, or 1-(3-dimethylaminopropyl)-3-ethylcarbodiimide. Exemplary inert solvents include ethers, including tetrahydrofuran and dioxane, N,N-dimethylformamide, acetonitrile, or methylene chloride.

Although compound VI discloses two Rb substituents on the pyridine ring, the schemes are not limited to a single Rb group, nor is an Rb group needed. Rather, the presence of the Rb substituents in Scheme IIa and the subsequent Schemes hereafter, indicate that one or more Rb groups may optionally be attached at any available position of attachment upon the ring to which the Rb group is associated. Therefore, even though Scheme IIa and the Schemes hereinafter may reference a particular embodiment, it should be understood that various other modifications, such as the substitution of one or more Rb groups, or other modifications known to those skilled in the art, may be employed within the scope and spirit of the general synthetic schemes herein.

Alternately, compound V can be prepared by the condensation of IX and VIII (where X is a leaving group such as a halogen) in an inert solvent at elevated temperatures. Exemplary inert solvents include DMF, THF, dioxane, acetonitrile, pyridine, and inert alcohol such as ethanol. Exemplary temperatures can range from 40 to 150° C.

Compound IX can be prepared by the hydrazinolysis of X via procedures used by one of ordinary skill in the art.

Alternately, compound IV can be prepared by the hydrazinolysis of compound XI in an inert solvent at elevated temperature. Exemplary inert solvents include hydrazine, HOAc, THF, dioxane, pyridine and inert alcohol such as ethanol. Exemplary temperatures can range from 40 to 150° C.

Compound XI can be prepared by the condensation of XII and VII via an appropriate carboxylic acid activating agent in an inert solvent. Exemplary carboxylic acid activating agents include isobutylchloroformate, carbonyldiimidazole, dicyclohexylcarbodiimide, pentofluorophenol trifluoroacetate, or 1-(3-dimethylaminopropyl)-3-ethylcarbodiimide. Exemplary inert solvents include ethers, including tetrahydrofuran and dioxane, N,N-dimethylformamide, acetonitrile, or methylene chloride.

Scheme IIIa describes a general synthetic sequence for the preparation of the compounds of formula XIII (where E can be CH₂, CRaRb, NRa, O, S, SO₂, SO, CO, C(O)O, C(O)NRa, and m and n can independently be an integer from 0 to 6, with the caveat that m and n together form a 5-12 membered ring structure.

Compounds of formula XIII can be prepared via the aminolysis of a compound of formula II using an appropriate carboxylic acid activating reagent and amine XIV in an inert solvent. Exemplary carboxylic acid activating agents include isobutylchloroformate, carbonyldiimidazole, dicyclohexylcarbodiimide, pentofluorophenol trifluoroacetate, or 1-(3-dimethylaminopropyl)-3-ethylcarbodiimide. Exemplary inert solvents include ethers, including tetrahydrofuran and dioxane, N,N-dimethylformamide, acetonitrile, or methylene chloride. If R₃ and/or R₄ are an amine-protecting group, such as Boc-, or CBZ, they will be deprotected to afford the final products. Deprotections are done by one of ordinary skill in the art as described in the following.

Compound XIV can be prepared by the deprotection of compound XV where PG is an appropriate amino protecting group such as Boc-, CBZ, etc. used by one of ordinary skill in the art. Exemplary deprotection reagents for Boc- are hydrogen chloride in dioxane, TFA, etc; exemplary deprotection for CBZ is catalytic hydrogenation.

Compound XVI can be prepared from compound X via a dehydrating conditions in protonic and aprotic solvents. Dehydrating conditions can be exemplified by using protonic solvent along or by using combinations with dehydrating agents include HOAc, PPTS or by using Mitsunobu reactions in the inert solvents.

Compound XVI can be prepared from coupling compounds I× and compound XVII in inert solvent.

Schemes IVa-IVc can be carried out using similar general procedures as described for Scheme IIIa, where intermediates XVIIIa, XVIIIb and XVIIIc are utilized in place of intermediate XVIII. m and n can independently be an integer from 0 to 5, with the caveat that m and n together form a 6-12 membered ring structure.

Compounds of formula XIX can be prepared from a compound of formula II and amine XX using an appropriate carboxylic acid activating reagent in an inert solvent. Exemplary carboxylic acid activating agents include isobutylchloroformate, carbonyldiimidazole, dicyclohexylcarbodiimide, pentofluorophenol trifluoroacetate or 1-(3-dimethylaminopropyl)-3-ethylcarbodiimide. Exemplary inert solvents include ethers, dioxane, tetrahydrofuran, N,N-dimethylformamide, acetonitrile or methylene chloride. If R₃ and/or R₄ are an amine-protecting group, such as Boc-, CBZ or Trityl, they will be deprotected to afford the final products. Reaction conditions for deprotection may be founds in the ‘Protective Groups in Organic Synthesis” Greene et al., John Wiley and Sons Inc, 1991, or other methods used by one of ordinary skill in the art.

Compound XX can be prepared by the deprotection of compound XXI where PG is an appropriate amino protecting group such as Boc-, CBZ or Trityl, etc. Reaction conditions for deprotection may be founds in the ‘Protective Groups in Organic Synthesis” Greene et al., John Wiley and Sons Inc, 1991, or other methods used by one of ordinary skill in the art. Exemplary deprotection reagents for Boc- are hydrogen chloride in dioxane, TFA in dichloromethane, etc.; exemplary deprotection for CBZ is catalytic hydrogenation, exemplary deprotection for Trityl is hydrogen chloride in acetone or tetrahydrofuran.

Compound XXI can be prepared from compound XXII (X=Cl or F). Compound XXII first react with hydroxyamine to give an oxime intermediate, then followed by cyclization under basic condition or other methods used by one of ordinary skill in the art.

Compound XXII can be prepared from compound XXIII via treatment of appropriate organic zinc reagents in an inert solvent such as ethers, tetrahydrofuran or toluene. Organic zinc reagents can be prepared via treatment of arylbromide or aryliodide with Rieke® zinc metal as described in J. Org. Chem. (1991), 56, 1445 or Tetrahedron (1997), 53, 1925. Alternatively, it can also be prepared via treatment of arylbromide or aryliodide with n-BuLi or tert-BuLi followed by addition of zinc bromide or zinc iodide.

Compounds XXIII can be prepared from a compound of formula VII and a mercapto compound such as thiophenol using an appropriate carboxylic acid activating reagent in an inert solvent. Exemplary carboxylic acid activating agents include isobutylchloroformate, carbonyldiimidazole, dicyclohexylcarbodiimide, pentofluorophenol trifluoroacetate, or 1-(3-dimethylaminopropyl)-3-ethylcarbodiimide. Exemplary inert solvents include ethers, dioxane, tetrahydrofuran, N,N-dimethylformamide, acetonitrile, or methylene chloride.

XXIV can be prepared from a compound of formula II and amine XX using an appropriate carboxylic acid activating reagent in an inert solvent. Exemplary carboxylic acid activating agents include isobutylchloroformate, carbonyldiimidazole, dicyclohexylcarbodiimide, pentofluorophenol trifluoroacetate, or 1-(3-dimethylaminopropyl)-3-ethylcarbodiimide. Exemplary inert solvents include ethers, dioxane, tetrahydrofuran, N,N-dimethylformamide, acetonitrile, or methylene chloride. If R₃ and/or R₄ are an amine-protecting group, such as Boc-, CBZ or Trityl, they will be deprotected to afford the final products. Reaction conditions for deprotection may be founds in the ‘Protective Groups in Organic Synthesis” Greene et al., John Wiley and Sons Inc, 1991, or other known methods used by one of ordinary skill in the art.

Compound XX can be prepared by the deprotection of compound XXI where PG is an appropriate amino protecting group such as Boc-, CBZ or Trityl, etc. Reaction conditions for deprotection may be founds in the ‘Protective Groups in Organic Synthesis” Greene et al., John Wiley and Sons Inc, 1991, or other known methods used by one of ordinary skill in the art. Exemplary deprotection reagents for Boc- are hydrogen chloride in dioxane, TFA in dichloromethane, etc.; exemplary deprotection for CBZ is catalytic hydrogenation, exemplary deprotection for Trityl is hydrogen chloride in acetone or tetrahydrofuran.

Compound XXI can be prepared from compound XXII (X=Cl or F). Compound XXII first react with hydroxyamine to give an oxime intermediate, then followed by cyclization under basic condition or other methods used by one of ordinary skill in the art.

Compound XXII can be prepared by reduction of azido compound XXV followed by protection of the resulting amine intermediate by an amine protecting group such as Boc, CBz or Trityl, etc. Exemplary reduction reaction include hydrogenation or with triphenylphosphine in aqueous tetrahydrofuran. Reaction conditions for protection of the resulting amine intermediate may be founds in the ‘Protective Groups in Organic Synthesis” Greene et al., John Wiley and Sons Inc, 1991, or other methods used by one of ordinary skill in the art.

Compounds XXV can be prepared from a compound of formula XXVI in a two step sequence or other known methods in the art. Treatment of compound XXVI with bromine resulted in a α-bromoketone intermediate, which was followed by treatment with azide ion such as sodium azide.

Compounds XXVI can be prepared from a compound of formula XXVII with an organic metal reagent XXIXa or XXIXb.

Compound XXVII can be prepared from an acid XXVIII and N,O-dimethyl-amine hydrochloride using an appropriate carboxylic acid activating reagent and base in an inert solvent. Exemplary carboxylic acid activating agents include isobutylchloroformate, carbonyldiimidazole, dicyclohexylcarbodiimide, pentofluorophenol trifluoroacetate, or 1-(3-dimethylaminopropyl)-3-ethylcarbodiimide. Exemplary inert solvents include ethers, dioxane, tetrahydrofuran, N,N-dimethylformamide, acetonitrile, or methylene chloride. Alternatively, acid XXVIII can be converted to the corresponding acid chloride using oxalyl chloride, thionyl chloride or other known methods in the art. The resulting acid chloride can then reacted with N,O-dimethyl-amine hydrochloride in the presence of a base such as trimethylamine in an inert solvent.

Compound XXIXa is commonly known as Grignard reagents, and can be prepared by known methods used by one of ordinary skill in the art.

Compound XXIXb can be prepared by treatment of compound XXXb with MeLi or n-BuLi or by known methods used by one of ordinary skill in the art.

Utilities And Combinations A. Utilities

The growth hormone releasing compounds of formula I can be administered to animals, including man, to release growth hormone in vivo. For example, the compounds can be administered to commercially important animals such as swine, cattle, sheep and the like to accelerate and increase their rate and extent of growth, and to increase milk production in such animals.

The present invention includes within its scope pharmaceutical compositions comprising, as an active ingredient, at least one of the compounds of formula I in association with a pharmaceutical carrier or diluent. Optionally, the active ingredient of the pharmaceutical compositions can comprise a growth promoting agent in addition to at least one of the compounds of formula I or another composition which exhibits a different activity, e.g., an antibiotic or other pharmaceutically active material.

Growth promoting agents include, but are not limited to, TRH, diethylstilbesterol, theophylline, enkephalins, E series prostaglandins, compounds disclosed in U.S. Pat. No. 3,239,345, e.g., zeranol, and compounds disclosed in U.S. Pat. No. 4,036,979, e.g., sulbenox or peptides disclosed in U.S. Pat. No. 4,411,890.

A still further use of the disclosed compounds of formula I of the invention is in combination with other growth hormone secretagogues such as GHRP-6, GHRP-1 as described in U.S. Pat. No. 4,411,890; and publications WO 89/07110 and WO 89/07111 and B-HT920 or growth hormone releasing factor and its analogs or growth hormone and its analogs or somatomedins including IGF-1 and IGF-2. A still further use of the disclosed compounds of formula I of the invention is in combination with parathyroid hormone or bisphosphonates, such as MK-217 (alendronate), in the treatment of osteoporosis.

A still further use of the disclosed compounds of formula I is in combination with estrogen, testosterone, a selective estrogen receptor modulator, such as tamoxifen or raloxifene, or a selective androgen receptor modulator, such as disclosed in Edwards, J. P. et al., Bio. Med. Chem. Let., 9, 1003-1008 (1999) and Hamann, L. G. et al., J. Med. Chem., 42, 210-212 (1999), for the treatment of aspects of Metabolic Syndrome, maintenance of muscle strength and function in elderly humans, reversal or prevention of frailty in elderly humans, stimulation and increase in muscle mass and muscle strength, attenuation of protein catabolic response after a major operation or trauma; reducing cachexia and protein loss due to chronic illness such as cancer or AIDS; improvement in muscle mobility, and maintenance of skin thickness.

A further use of the compounds of this invention is in combination with progestin receptor agonists (“PRA”).

As is well known to those skilled in the art, the known and potential uses of growth hormone are varied and multitudinous. Thus, the administration of the compounds of this invention for purposes of stimulating the release of endogenous growth hormone can have the same effects or uses as growth hormone itself.

To those skilled in the art, it is well known that the current and potential uses of growth hormone are varied and multitudinous. Thus, compounds of formula I can be administered for purposes stimulating release of endogenous growth hormone and would thus have similar effects or uses as growth hormone itself. Compounds of formula I are useful for stimulation of growth hormone release (e.g., in the elderly); maintenance of muscle strength and function (e.g., in the elderly); reversal or prevention of frailty or age-related functional decline (“ARFD”) in the elderly; prevention of catabolic side effects of glucocorticoids; prevention and treatment of osteoporosis; treatment of chronic fatigue syndrome (CFS); treatment of acute fatigue syndrome and muscle loss following election surgery; stimulation of the immune system, including improvement of immune response to vaccination; acceleration of wound healing; accelerating bone fracture repair (such as accelerating the recovery of hip fracture patients); accelerating healing of complicated fractures, e.g. disctraction osteogenesis; acceleration of tooth repair or growth; maintenance of sensory function (e.g., hearing, sight, olfaction and taste); treatment of wasting secondary to fractures; treatment of growth retardation; treatment of growth retardation resulting from renal failure or insufficiency; treatment of cardiomyopathy; treatment of wasting in connection with chronic liver disease; treatment of thrombocytopenia; treatment of growth retardation in connection with Crohn's disease; treatment of short bowel syndrome; treatment of irritable bowel syndrome; treatment of inflammatory bowel disease; treatment of Crohn's disease and ulcerative colitis; treatment of wasting in connection with chronic obstructive pulmonary disease (COPD); treatment of complications associated with transplantation; treatment of physiological short stature including growth hormone deficient children and short stature associated with chronic illness; treatment of obesity and growth retardation associated with obesity; treatment of anorexia (e.g., associated with cachexia or aging); treatment of growth retardation associated with the Prader-Willi syndrome and Turner's syndrome; increasing the growth rate of a patient having partial growth hormone insensitive syndrome; accelerating the recovery and reducing hospitalization of burn patients; treatment of intrauterine growth retardation, skeletal dysplasia, hypercortisolism and Cushing's syndrome; induction of pulsatile growth hormone release; replacement of growth hormone in stressed patients; treatment of osteochondrodysplasias; treatment of Noonan's syndrome; treatment of schizophrenia; treatment of depression; improvement of cognitive function (e.g., treatment of dementia; treatment of Alzheimer's disease; treatment of delayed wound healing and psychosocial deprivation; treatment of catabolism in connection with pulmonary dysfunction and ventilator dependency; treatment of cardiac dysfunction (e.g. associated with valvular disease, myocardial infarction, cardiac hypertrophy or congestive heart failure); lowering blood pressure; protection against ventricular dysfunction or prevention of reperfusion events; treatment of adults in chronic dialysis; reversal or slowing of the catabolic state of aging; attenuation or reversal of protein catabolic responses following trauma (e.g., reversal of the catabolic state associated with surgery, congestive heart failure, cardiac myopathy, burns, cancer, COPD etc.); reducing cachexia and protein loss due to chronic illness such as cancer or AIDS; treatment of hyperinsulinemia including nesidioblastosis; adjuvant treatment for ovulation induction; stimulation of thymic development and prevention of the age-related decline of thymic function; treatment of immunosuppressed patients; treatment of sarcopenia; treatment of wasting in connection with AIDS; treatment of wasting in connection with multiple sclerosis or other neurodegenerative disorders; improvement in muscle strength, mobility, maintenance of skin thickness; hair/nail growth; treatment of metabolic homeostasis and renal homeostasis (e.g., in the frail elderly); stimulation of osteoblasts, bone remodelling and cartilage growth; regulation of food intake; stimulation of the immune system in companion animals and treatment of disorders of aging in companion animals; promoting growth in livestock; stimulation of wool growth in sheep; increasing milk production in livestock; treatment of insulin resistance including NIDDM, in mammals (e.g. humans); treatment of insulin resistance in the heart; improvement of sleep quality and correction of the relative hyposomatotropism of senescence due to high increase in REM sleep and a decrease in REM latency; treatment of hypothermia; treatment of frailty such as that associated with aging; treatment of congestive heart failure; treatment of hip fractures; treatment of immune deficiency in individuals with a depressed T4/T8 cell ratio; treatment of lipodystrophy (e.g., in patients taking HIV or AIDS therapies such as protease inhibitors); treatment of muscular atrophy (e.g., due to physical inactivity, bed rest or reduced weight-bearing conditions); treatment of musculoskeletal impairment (e.g., in elderly); enhancing the activity of protein kinase B (PKB); improvement of the overall pulmonary function; treatment of sleep disorders; and the treatment of the catabolic state of prolonged critical illness. The term treatment is also intended to include prophylactic treatment.

In addition, the conditions, diseases, and maladies collectively referenced to as “Syndrome X” or Metabolic Syndrome as detailed in Johannsson J. Clin. Endocrinol. Metab., 82, 727-34 (1997), may be treated employing the compounds of the invention.

B. Combinations

The compounds of the present invention may be employed alone or in combination with each other and/or other growth hormone secretagogues or other suitable therapeutic agents useful in the treatment of the aforementioned disorders including: anti-diabetic agents; anti-osteoporosis agents; anti-obesity agents; anti-inflammatory agents; anti-anxiety agents; anti-depressants; anti-hypertensive agents; anti-platelet agents; anti-thrombotic and thrombolytic agents; cardiac glycosides; cholesterol/lipid lowering agents; mineralocorticoid receptor antagonists; phosphodiesterase inhibitors; protein tyrosine kinase inhibitors; thyroid mimetics (including thyroid receptor antagonists); anabolic agents; HIV or AIDS therapies; therapies useful in the treatment of Alzheimer's disease and other cognitive disorders; therapies useful in the treatment of sleeping disorders; anti-proliferative agents; anti-tumor agents; and/or anti-ulcer and gastroesophageal reflux disease agents.

Examples of suitable anti-diabetic agents for use in combination with the compounds of the present invention include biguanides (e.g. metformin), glucosidase inhibitors (e.g. acarbose), insulins (including insulin secretagogues or insulin sensitizers), meglitinides (e.g. repaglinide), sulfonylureas (e.g., glimepiride, glyburide and glipizide), biguanide/glyburide combinations (e.g., glucovance), thiazolidinediones (e.g. troglitazone, rosiglitazone and pioglitazone), PPAR-alpha agonists, PPAR-gamma agonists, PPAR alpha/gamma dual agonists, SGLT2 inhibitors, inhibitors of fatty acid binding protein (aP2) such as those disclosed in U.S. Ser. No. 09/519,079 filed Mar. 6, 2000 (attorney docket LA27), glucagon-like peptide-1 (GLP-1), and dipeptidyl peptidase IV (DP4) inhibitors.

Examples of suitable anti-osteoporosis agents for use in combination with the compounds of the present invention include alendronate, risedronate, raloxifene, calcitonin, non-steroidal progestin receptor agonists, RANK ligand agonists, calcium sensing receptor antagonists, TRAP inhibitors, selective estrogen receptor modulators (SERM), estrogen and AP-1 inhibitors;

Examples of suitable anti-obesity agents for use in combination with the compounds of the present invention include aP2 inhibitors such as those disclosed in U.S. Ser. No. 09/519,079 filed Mar. 6, 2000 (attorney docket LA27), PPAR gamma antagonists, PPAR delta agonists, and orlistat.

Examples of suitable antiinflammatory agents for use in combination with the compounds of the present invention include prednisone, dexamethasone, Enbrel, cyclooxygenase inhibitors (i.e., COX-1 and/or COX-2 inhibitors such as NSAIDs, aspirin, indomethacin, ibuprofen, piroxicam, Naproxen, Celebrex, Vioxx), CTLA4-Ig agonists/antagonists, CD40 ligand antagonists, integrin antagonists, alpha4 beta7 integrin antagonists, cell adhesion inhibitors, interferon gamma antagonists, ICAM-1, tumor necrosis factor (TNF) antagonists (e.g., infliximab, OR1384), prostaglandin synthesis inhibitors, budesonide, clofazimine, CNI-1493, CD4 antagonists (e.g., priliximab), p38 mitogen-activated protein kinase inhibitors, protein tyrosine kinase (PTK) inhibitors, IKK inhibitors, and therapies for the treatment of irritable bowel syndrome (e.g., zelmac and Maxi-K openers such as those disclosed in U.S. Pat. No. 6,184,231 B1).

Example of suitable anti-anxiety agents for use in combination with the compounds of the present invention include diazepam, lorazepam, buspirone, oxazepam, and hydroxyzine palmoate.

Examples of suitable anti-depressants for use in combination with the compounds of the present invention include citalopram, fluoxetine, nefazadone, sertraline, and paroxetine.

Examples of suitable anti-hypertensive agents for use in combination with the compounds of the present invention include beta adrenergic blockers, calcium channel blockers (L-type and T-type; e.g. diltiazem, verapamil, nifedipine, amlodipine and mybefradil), diuretics (e.g., chlorothiazide, hydrochlorothiazide, flumethiazide, hydroflumethiazide, bendroflumethiazide, methylchlorothiazide, trichloromethiazide, polythiazide, benzthiazide, ethacrynic acid tricrynafen, chlorthalidone, furosemide, musolimine, bumetanide, triamtrenene, amiloride, spironolactone), renin inhibitors, ACE inhibitors (e.g., captopril, zofenopril, fosinopril, enalapril, ceranopril, cilazopril, delapril, pentopril, quinapril, ramipril, lisinopril), AT-1 receptor antagonists (e.g., losartan, irbesartan, valsartan), ET receptor antagonists (e.g., sitaxsentan, atrsentan and compounds disclosed in U.S. Pat. Nos. 5,612,359 and 6,043,265), Dual ET/AII antagonist (e.g., compounds disclosed in WO 00/01389), neutral endopeptidase (NEP) inhibitors, vasopepsidase inhibitors (dual NEP-ACE inhibitors) (e.g., omapatrilat and gemopatrilat), and nitrates.

Examples of suitable anti-platelet agents for use in combination with the compounds of the present invention include GPIIb/IIIa blockers (e.g., abciximab, eptifibatide, tirofiban), P2Y12 antagonists (e.g., clopidogrel, ticlopidine, CS-747), thromboxane receptor antagonists (e.g., ifetroban), aspirin, and PDE-III inhibitors (e.g., dipyridamole) with or without aspirin.

Examples of suitable cardiac glycosides for use in combination with the compounds of the present invention include digitalis and ouabain.

Examples of suitable cholesterol/lipid lowering agents for use in combination with the compounds of the present invention include HMG-CoA reductase inhibitors (e.g., pravastatin lovastatin, atorvastatin, simvastatin, NK-104 (a.k.a. itavastatin, or nisvastatin or nisvastatin) and ZD-4522 (a.k.a. rosuvastatin, or atavastatin or visastatin)), squalene synthetase inhibitors, fibrates, bile acid sequestrants, ACAT inhibitors, MTP inhibitors, lipoxygenase inhibitors, cholesterol absorption inhibitors, and cholesterol ester transfer protein inhibitors (e.g., CP-529414).

Examples of suitable mineralocorticoid receptor antagonists for use in combination with the compounds of the present invention include spironolactone and eplerinone.

Examples of suitable phosphodiesterase inhibitors for use in combination with the compounds of the present invention include PDEIII inhibitors such as cilostazol, and PDE V inhibitors such as sildenafil.

Examples of suitable thyroid mimetics for use in combination with the compounds of the present invention include thyrotropin, polythyroid, KB-130015, and dronedarone.

Examples of suitable anabolic agents for use in combination with the compounds of the present invention include testosterone and SARMs.

Examples of suitable HIV or AIDS therapies for use in combination with the compounds of the present invention include indinavir sulfate, saquinavir, saquinavir mesylate, amprenavir, ritonavir, lopinavir, ritonavir/lopinavir combinations, lamivudine, zidovudine, lamivudine/zidovudine combinations, zalcitabine, didanosine, stavudine, and megestrol acetate.

Examples of suitable therapies for treatment of Alzheimer's disease and cognitive disorders for use in combination with the compounds of the present invention include donepezil, tacrine, revastigmine, 5HT6, gamma secretase inhibitors, beta secretase inhibitors, SK channel blockers, Maxi-K blockers, and KCNQs blockers.

Examples of suitable therapies for treatment of sleeping disorders for use in combination with the compounds of the present invention include melatonin analogs, melatonin receptor antagonists, ML1B agonists, and GABA/NMDA receptor antagonists.

Examples of suitable anti-proliferative agents for use in combination with the compounds of the present invention include cyclosporin A, taxol, FK 506, and adriamycin.

Examples of suitable anti-tumor agents for use in combination with the compounds of the present invention include taxol, adriamycin, epothilones, cisplatin and carboplatin.

Compounds of the present invention may further be used in combination with nutritional supplements such as those described in U.S. Pat. No. 5,179,080, especially in combination with whey protein or casin, amino acids (such as leucine, branched amino acids and hydroxymethylbutyrate), triglycerides, vitamins (e.g., A, B6, B12, folate, C, D and E), minerals (e.g., selenium, magnesium, zinc, chromium, calcium and potassium), carnitine, lipoic acid, creatine, and coenzyme Q-10.

The above other therapeutic agents, when employed in combination with the compounds of the present invention, may be used, for example, in those amounts indicated in the Physicians' Desk Reference (PDR) or as otherwise determined by one of ordinary skill in the art.

The compounds of the present invention are agents that are growth hormone secretagogues and can be administered to various mammalian species, such as monkeys, dogs, cats, rats, humans, etc., in need of treatment. These agents can be administered systemically, such as orally or parenterally.

The compounds of the invention can be incorporated in a conventional systemic dosage form, such as a tablet, capsule, elixir or injectable formulation. The above dosage forms will also include the necessary physiologically acceptable carrier material, excipient, lubricant, buffer, antibacterial, bulking agent (such as mannitol), anti-oxidants (ascorbic acid or sodium bisulfite) or the like. Oral dosage forms are preferred, although parenteral, intranasal or aerosol forms are quite satisfactory as well.

The dose administered must be carefully adjusted according to the age, weight, and condition of the patient, as well as the route of administration, dosage form and regimen, and the desired result. In general, the dosage forms described above may be administered in amounts from about 0.0001 to about 100 mg/kg or body weight or in an amount within the range from about 1 to about 1000 mg per day, preferably, from about 5 to about 500 mg per day in single or divided doses of one to four times daily.

EXAMPLES

The following Examples represent preferred embodiments of the invention. All temperatures are in ° C. unless indicated otherwise.

General Experimental

Method A: The term HPLC refers to a Shimadzu high performance liquid chromatography using a 4 minute gradient of 0-100% solvent B [MeOH:H2O:0.2% H3PO4] with a 1 min. hold, an ultra violet (uv) detector set at 220 nM and using a column (4.6×50 mm) packed with YMC C18 5 micron resin.

A mixture of solvent A (10% MeOH/90% H2O/0.2% TFA) and solvent B (90% MeOH/10% H2O/0.2% TFA) are used for preparative reverse phase HPLC in an automated Shimadzu system. The preparative columns are packed with YMC ODS C18 5 micron resin.

Method B: The term HPLC refers to a Shimadzu high performance liquid chromatography using an 8 minute gradient of 0-100% solvent B [acetonitrile:H2O:0.1% TFA] with a 3 min. hold, an ultra violet (uv) detector set at 220 nM, and using a column (4.6×75 mm) packed with Zorbax C18 5 micron resin. A mixture of solvent A (10% acetonitrile/90% H2O/0.1% TFA) and solvent B (90% acetonitrile/10% H2O/0.1% TFA) are used for preparative reverse phase HPLC in an automated Shimadzu system. The preparative columns are packed with YMC ODS C18 5 micron resin.

Method C: The term HPLC refers to a Shimadzu high performance liquid chromatography using an 8 minute gradient of 0-100% solvent B [MeOH:H2O:0.2% H3PO4] with a 2 min. hold, an ultra violet (uv) detector set at 220 nM, and using a column (4.6×75 mm) packed with Zorbax C18 5 micron resin.

The preparative column for the chiral preparative HPLC was packed with Chiralpak AD 2 μM (5×50 cm) using Isopropyl alcohol and hexane as the solvents.

Example 1 2-Amino-N-[1-(6-bromo-[1,2,4]triazolo[4,3-a]pyridin-3-yl)-3-phenyl-propyl]-2-methyl-propionamide

To a THF (100 ml) solution of 3-benzyloxy-2-tert-butoxycarbonylamino-propionic acid (20.0 g, 67.8 mmol) was added N-methyl morpholine (11.2 ml, 101.7 mmol), followed by the addition of iso-butyl chloroformate (11.1 ml, 74.mmol) dropwise. A White suspension was formed. This suspension was stirred at r.t. For 10 min and then 5-bromo-pyridin-2-yl hydrazine (14.1 g, 74.6 mmol) was added in three portions. The resulting suspension was stirred at r.t. for 1 h and then the solvent was removed under reduced pressure until a thick slurry was formed. Water was added and the suspension was stirred to ensure the solid was finely dispersed. The off-white solid was filtered and washed with NaOH (1N, 100 ml), water (100 ml) and HCl(1N, 100 ml) and then water (200 ml) dried to give 1A (31.5 g, 100%).

To a THF (100 ml) solution of 1A (30 g, 64.3 mmol) was added triphenylphosphine (20.2 g, 77.2 mmol), and trimethylsilyl azide (10.2 ml, 77.2 mmol). To this solution was added diethyl diazacarboxylate (DEAD, 15.2 ml, 96.5 mmol) in rapid drops. The solution became hot. After the addition was complete, the solution was allowed to stir at r.t. until all starting material was consumed (<2 h). The solvent was removed under reduced pressure to give 1B.

1B (64.3 mmol) was suspended in HCl-dioxane (160 ml, 4 MHCl in dioxane). The suspension was stirred at r.t. until all of the starting material was consumed. The suspension was concentrated to a thick slurry and then diluted with THF (100 ml). The solid was collected by filtration and rinsed with excess CH₂Cl₂, diethyl ether, and dried to give 1C (24.5 g, 99%).

To a THF (100 ml) solution of 2-tert-butoxycarbonylamino-2-methyl-propionic acid (9.5 g, 47.9 mmol) was added EDAC (11.2 g, 58.8 mmol) and HOBT (8.0 g, 58.8 mmol), DMAP (4.8 g, 39.2 mmol), and (i-Pr)₂NEt (20.5 ml, 117.6 mmol). This solution was stirred at r.t. for 10 min before the addition of 1C (15 g, 39.2 mmol). The reaction was completed in <1 h. The solvent was then removed under reduced pressure and the residue was dissolved in EtOAc (200 ml). The organic solution was washed with water (200 ml), NaOH (0.5N, 200 ml), HCl (0.5N, 200 ml), and water (200 ml). The organic layer was dried over Na₂SO₄ and concentrated to give a white solid 1D (20.0 g, 90%)

1D (1.0 g, 1.8 mmol) was dissolved in 4 M HCl-dioxane (5 ml). The solution was stirred at r.t. until all starting material was consumed. The solvent was evaporated under reduced pressure and the white solid was triturated with diethyl ether to afford pure product of the title compound (0.84 g, <99%). MS (M+H) 433, HPLC retention time 2.07 min.

Examples 2 to 15

Examples 2-15 in Table 1 have been synthesized utilizing the procedures described in Example 1, utilizing the appropriate starting materials.

TABLE 1

Compound HPLC Purity number R (%) HPLC Retention (min) Mass M + H 2

100 2.53 422 3

90 1.93 399 4

90 1.92 388 5

91 1.60 372 6

90 1.29 354 7

99 1.60 379 8

94 2.46 422 9

96 1.80 432 10

94 1.73 388 11

89 1.73 399 12

91 2.37 456 13

100 2.40 435 14

100 2.12 435 15

88 1.97 384

Example 16 2-Amino-2-methyl-N-[3-phenyl-1-(6-trifluoromethyl-[1,2,4]triazolo[4,3-a]pyridin-3-yl)-propyl]-propionamide

To a THF (100 ml) solution of 2-tert-Butoxycarbonylamino-4-phenyl-butyric acid (2.0 g, 7.1 mmol) was added TEA (0.98 ml, 7.1 mmol), followed by the addition of iso-butyl chloroformate (0.98 g, 7.1 mmol) dropwise. A White suspension was formed. This suspension was stirred at r.t. for 10 min and then (5-Trifluoromethyl-pyridin-2-yl)-hydrazine (1.3 g, 7.1 mmol) was added in three portions. The resulting suspension was stirred at r.t. for 1 h and then the solvent was removed under reduced pressure until a thick slurry was formed. Water (200 ml) was added and the suspension was stirred to ensure the solid was finely dispersed. The off-white solid was filtered and washed with NaOH (1N, 100 ml), water (100 ml) and HCl (1N, 100 ml) and then water (200 ml) dried to give 16A (1.9 g, 100%).

To a THF (100 ml) solution of 16A (1.9 g, 4.3 mmol) was added triphenylphosphine (1.3 g, 5.2 mmol), and trimethylsilyl azide (0.6 g, 5.2 mmol). To this solution was added diethyl diazacarboxylate (DEAD, 1.8 g, 10.8 mmol) in rapid drops. The solution became hot. After the addition was complete, the solution was allowed to stir at r.t. until all starting material was consumed (<2 h). The solvent was removed under reduced pressure to give 16B

16B was suspended in HCl-dioxane (160 ml, 4M HCl in dioxane). The suspension was stirred at r.t. until all of the starting material was consumed. The suspension was concentrated to a thick slurry and then diluted with THF (100 ml). The solid was collected by filtration and rinsed with excess CH₂Cl₂, diethyl ether, and dried to give 16C

To a THF (100 ml) solution of 2-tert-butoxycarbonylamino-2-methyl-propionic acid (27.5 mg, 0.135 mmol) was added EDAC (29.2 mg, 0.15 mmol) and HOBT (20 mg, 0.15 mmol), DMAP (1.5 mg, 0.01 mmol), and pyridine. This solution was stirred at r.t. for 10 min before the addition of 16C (52 mg, 0.123 mmol). The reaction was completed in <1 h. The solvent was then removed under reduced pressure and the residue was dissolved in EtOAc (200 ml). The organic solution was washed with water (200 ml), NaOH (0.5 N, 200 ml), HCl (0.5 N, 200 ml), and water (200 ml). The organic layer was dried over Na₂SO₄ and concentrated to give a white solid 16D

Example 16

16D was dissolved in 4 M HCl-dioxane (5 ml). The solution was stirred at r.t. until all starting material was consumed. The solvent was evaporated under reduced pressure and the white solid was triturated with diethyl ether to afford pure product (29 mg, 94%). MS (M+H) 406, HPLC retention time 2.3 min.

The following compounds have been prepared utilizing the procedures described in Example 16, which started with the corresponding acids (step A), hydrazines (step A) and amines (Step D) as depicted in Table 2.

TABLE 2 Compound HPLC Purity HPLC Retention number (%) (min) Mass 17

98 2.28 432 18

91 2.28 432 19

95 2.47 441 20

98 2.26, 2.42 432 21

98 2.35 432 22

94 2.31 418 23

93 2.47 446 24

95 2.39 420 25

88 2.34 420

Example 26 6-Amino-N-[2-phenyl-1-(6-trifluoromethyl-[1,2,4]triazolo[4,3-a]pyridin-3-yl)-ethyl]-nicotinamide

To a THF (100 ml) solution of 2-tert-Butoxycarbonylamino-3-phenyl-propionic acid (2.0 g, 7.1 mmol) was added TEA (0.98 ml, 7.1 mmol), followed by the addition of iso-butyl chloroformate (0.98 g, 7.1 mmol) dropwise. A White suspension was formed. This suspension was stirred at r.t. for 10 min and then (5-Trifluoromethyl-pyridin-2-yl)-hydrazine (1.3 g, 7.1 mmol) was added in three portions. The resulting suspension was stirred at r.t. for 1 h and then the solvent was removed under reduced pressure until a thick slurry was formed. Water (200 ml) was added and the suspension was stirred to ensure the solid was finely dispersed. The off-white solid was filtered and washed with NaOH (1N, 100 ml), water (100 ml) and HCl (1N, 100 ml) and then water (200 ml) dried to give 26A (1.9, 100%).

Example 26 was prepared utilizing the procedures described in Example 16, substituting with 26A for 16A, 26B for 16B, 26C for 16C, 26D for 16D. Example 26 was obtained as a white foam. MS (M+H) 427, HPLC retention time 2.23 min.

The following compounds have been prepared utilizing the procedures described in Example 26 as depicted in Table 3.

TABLE 3 Compound HPLC Purity number (%) HPLC Retention (min) Mass 27

95 2.03 418 28

93 2.02 418 29

98 2.00 392 30

98 2.02, 2.16 418 31

80 2.08 418 32

88 2.06 404 33

90 2.15 432 34

88 2.14 406 35

76 2.07 406

Example 36 6-Amino-N-[2-benzyloxy-1-(6-trifluoromethyl-[1,2,4]triazolo[4,3-a]pyridin-3-yl)-ethyl]-nicotinamide

To a THF (100 ml) solution of 3-Benzyloxy-2-tert-butoxycarbonylamino-propionic acid (2.0 g, 7.1 mmol) was added TEA (0.98 ml, 7.1 mmol), followed by the addition of iso-butyl chloroformate (0.98 g, 7.1 mmol) dropwise. A White suspension was formed. This suspension was stirred at r.t. for 10 min and then (5-Trifluoromethyl-pyridin-2-yl)-hydrazine (1.3 g, 7.1 mmol) was added in three portions. The resulting suspension was stirred at r.t. for 1 h and then the solvent was removed under reduced pressure until a thick slurry was formed. Water (200 ml) was added and the suspension was stirred to ensure the solid was finely dispersed. The off-white solid was filtered and washed with NaOH (1N, 100 ml), water (100 ml) and HCl (1N, 100 ml) and then water (200 ml) dried to give 36A (1.9, 100%).

Example 36 was prepared utilizing the procedures described in Example 16, substituting with 36A for 16A, 36B for 16B, 36C for 16C, 36D for 16D. Example 36 was obtained as a white foam. MS (M+H) 456,HPLC retention time 2.4 in.

The following compounds have been prepared utilizing the procedures described in Example 36 as depicted in Table 4.

TABLE 4 HPLC Compound Retention number HPLC Purity (%) (min) Mass 37

98 2.38 447 38

100 2.29 447 39

97 2.31 447 40

95 2.08 445 41

95 2.22 473 42

97 2.11 447 43

90 2.09 447 44

96 2.09 459

Example 45 2-Amino-N-{2-benzyloxy-1-[6-(2-fluoro-phenyl)-[1,2,4]triazolo[4,3-a]pyridin-3-yl]-ethyl}-2-methyl-propionamide

Compound 1D (300 mg, 0.56 mmol), 2-fluorophenylboronic acid (120 mg, 0.86 mmol), Pd(OAc)₂ (5 mg, 0.022 mmol), triphenyl phosphine (100 mg, 0.38 mmol), and Et₃N (0.24 ml, 1.72 mmol) were dissolved in DMF (2 ml). This solution was heated at 110° C. for 12 h. The resulted mixture was diluted with water (10 ml) and was extracted with EtOAc. The combined organic portion was washed with NH₄OH (10%) and brine and dried over anhydrous MgSO₄. The solvent was evaporated under reduced pressure to afford a stick liquid. The products were not purified and used directly for the next step.

Example 45

45A was dissolved in 4 M HCl-dioxane (2 ml). The solution was stirred at r.t. until all starting material was consumed. The solvent was evaporated under reduced pressure. The product was purified by preparative HPLC to give the title compound (129 mg, 50%). MS (M+H) 447, HPLC retention time 2.47 min.

The following compounds has been prepared by utilizing the intermediates generated in Example 1 with chemical sequences described in Example 45, utilizing the appropriate starting materials as depicted in Table 5.

TABLE 5

Compound HPLC Purity HPLC Retention number Ar (%) (min) Mass 46

100 2.45 430 47

100 2.47 460 48

98 2.63 464 49

99 2.66 497 50

100 2.56 477

Example 51 2-Amino-N-[2-benzyloxy-1-(6-methanesulfonylamino-[1,2,4]triazolo[4,3-a]pyridin-3-yl)-ethyl]-2-methyl-propionamide

Compound 51A was obtained using the same procedures described for the synthesis of 1D with 5-nitro-2-hydrazinopyridine in place of 5-bromo-2-hydrazinopyridine.

Compound 51A (1.3 g, 2.6 mmol) was dissolved in EtOH (60 ml). Pd/C (35 mg, 10% Pd by weight) was added under N₂. This mixture was then subjected to hydrogenation at 50 Psi for 3 h to afford 51B. Solvent was removed under reduced pressure and the product was pure enough (>90%) and was used directly for the next reactions.

Compound 51B (200 mg, 0.43 mmol) was dissolved in CH₂Cl₂ (5 ml) and pyridine (0.14 ml, 2.1 mmol) was added. To this solution was added the corresponding methyl sulfonyl chloride (0.05 ml, 0.65 mmol). Reactions were completed in 1.5 h. The reactions were then diluted with CH₂Cl₂ (25 ml) and washed with HCl (1N, 20 ml), aqueous saturated NaHCO₃ (20 ml), and water (20 ml). Purification by flash chromatography on silica gel (5% CH₃OH/as elutant) gave 51C (90 mg, 40%).

Example 51

Compound 51C was dissolved in HCl (4 ml, 4M in dioxane) and was stirred at r.t. until the reaction was completed. The solvent was removed under reduced pressure. The products were purified by preparative HPLC to give the title compound as a foam (60 mg, 82%). MS (M+H) 447, HPLC retention time 1.73 min.

The following compounds in Table 6 have been synthesized utilizing the procedures described in Example 51, utilizing the appropriate starting materials.

TABLE 6

HPLC Compound Purity HPLC Retention number R (%) (min) Mass 52

90 2.32 509 53

97 2.02 475 54

97 2.23 515

Example 55 N-[1-(6-Acetylamino-[1,2,4]triazolo[4,3-a]pyridin-3-yl)-2-benzyloxy-ethyl]-2-amino-2-methyl-propionamide

Compound 51B (130 mg, 0.28 mmol) was dissolved in CH₂Cl₂ (2 ml) and Et₃N (0.2 ml, 1.4 mmol) was added. To this solution was added acetyl chloride (0.026 ml, 0.36 mmol). After stirring overnight at r.t, the reaction was then diluted with CH₂Cl₂ (25 ml) and washed with HCl (1N, 20 ml), NaHCO₃ (sat. 20 ml), and water (20 ml). The crude product were purified with flash chromatography (5% CH₃OH/CH₂Cl₂) to give 55A (80 mg, 56%).

Example 55

Compound 55A was dissolved in HCl (4 ml, 4M in dioxane) and was stirred at r.t. until the reaction was completed. The solvent was removed under reduced pressure. The products were purified by preparative HPLC to give the title compound as a foam. MS (M+H) 411, HPLC retention time 1.86 min.

The following compounds in Table 7 have been synthesized utilizing the procedures described in Example 55, utilizing the appropriate starting materials.

TABLE 7

HPLC Compound Purity HPLC Retention number R (%) (min) Mass 56

88 2.24 439

Example 57 2-Amino-N-[2-benzyloxy-1-(6-chloro-5-dimethylamino-[1,2,4]triazolo[4,3-a]pyridin-3-yl)-ethyl]-2-methyl-propionamide

Compound 57A was obtained using the same procedures described for the synthesis of 1D with the corresponding 2-hydrazinopyridine.

Compound 57A (250 mg, 0.48 mmol) in Dimethylamine (3 ml) was heated at 100° C. for 1.5 h. The reaction was diluted with water (10 ml) and extracted with EtOAc. The combined organic portions were dried over Na₂SO₄ and the solvent was evaporated under reduced pressure. The crude product was purified with flash chromatography (2% CH₃OH/CH₂Cl₂) to give 57B (140 mg, 55%).

Example 57

57A (140 mg, 0.26 mmol) was dissolved in HCl (5 ml, 4 M HCl in dioxane) and stirred at r.t. until all the starting materials was consumed. Purification by preparative HPLC gave the title compound (51 mg). MS (M+H) 431, HPLC retention time 2.35 min.

The following compounds in Table 8 have been synthesized utilizing the procedures described in Example 57, utilizing the appropriate starting materials.

TABLE 8

Compound HPLC Purity HPLC Retention number Substituted Triazolopyridine (R) (%) (min) Mass 58

96 1.51 397 59

60

61

98 2.51 431 62

97 1.34 475

Example 63 2-Amino-N-{2-benzyloxy-1-[6-chloro-5-(2-methoxy-ethoxy)-[1,2,4]triazolo[4,3-a]pyridin-3-yl]-ethyl}-2-methyl-propionamide

Compound 57A (250 mg, 0.48 mmol) in 2-Methoxy-ethanol (1 ml) and Cesium carbonate (155 mg, 0.48 mmol) was heated at 100° C. for 1.5 h. The reaction was diluted with water (10 ml) and extracted with EtOAc. The combined organic portions were dried over Na₂SO₄ and the solvent was evaporated under reduced pressure to give 63A.

Example 63

63A was dissolved in HCl (5 ml 4 M HCl in dioxane) and stirred at r.t. until all the starting materials was consumed. Purification by preparative HPLC gave the title compound (18.6 mg). MS (M+H) 462, HPLC retention time 2.23 min.

The following compounds in Table 9 have been synthesized utilizing the procedures described in Example 63, utilizing the appropriate starting materials.

TABLE 9

Compound number R HPLC Purity (%) HPLC Retention (min) Mass 64

90 1.97 420 65

66

67

68

Example 69 3-[1-(2-Amino-2-methyl-propionylamino)-2-benzyloxy-ethyl]-[1,2,4]triazolo[4,3-a]pyridine-6-carboxylic acid methylamide

To 1D (0.7 g, 1.32 mmol) in DMF (10 ml) and MeOH (5 ml) was added 1,3-Bis(diphenylphosphino)-propane (217 mg, 0.53 mmol), DBU (240 mg, 1.58 mmol) and palladium acetate (148 mg, 0.66 mmol). The mixture was degassed and the flushed with carbon monoxide and kept at 20 psi. The reaction was heated at 85° C. overnight. The catalyst was filtered and the solution concentrated. The residue was taken in EtOAc, washed with water, brine, dried and concentrated. The crude product was purified with flash chromatography to give 69A as a white foam.

To 69A (2.3 g, 4.5 mmol) in THF (20 ml) was added lithium hydroxide (40 ml of 2N solution). The mixture was stirred for 3 h at r.t. 1N HCl was added to adjust the pH to 2. The solution was extracted with CH₂Cl₂, washed, dried and concentrated to give 69B.

To a CH₂Cl₂(2 ml) solution of 69B (150 mg, 0.3 mmol) was added EDAC (86 mg, 0.45 mmol) and HOBT (60 mg, 0.45 mmol) and (i-Pr)₂NEt (58 mg, 0.45 mmol) and then 2M solution of methylamine in THF (0.225 ml, 0.45 mmol) The reaction was stirred overnight and then extracted with EtOAc. The organic solution was washed with water, brine, dried and concentrated to give a white solid 69C.

Example 69

69C was dissolved in HCl (5 ml 4 M HCl in dioxane) and stirred at r.t. until all the starting materials was consumed. Purification by preparative HPLC gave the title compound as an oil. MS (M+H) 410, HPLC retention time 2.4 min.

The following compounds in Table 10 have been synthesized utilizing the procedures described in Example 69, utilizing the appropriate starting materials.

TABLE 10

HPLC Compound Retention number R HPLC Purity (%) (min) Mass 70

93 2.56 468 71

90 2.13 487 72

90 2.00 505 73

93 1.39 396 74

95 2.39 432

Example 75 Methyl-carbamic acid 3-[1-(2-amino-2-methyl-propionylamino)-2-benzyloxy-ethyl]-[1,2,4]triazolo[4,3-a]pyridin-6-ylmethyl ester

To a stirred solution of 59A (50 mg, 0.098 mmol) in CH₂Cl₂ at −78° C. was added 1.5M solution of DIBAL in toluene (0.4 ml, 0.58 mmol) and stirred at r.t. overnight. The solution was cooled to 0° C. and then a 1M solution of sodium potassium tartarate was added slowly. Stirred for 1.5 h at r.t. The precipitate formed is filtered off through a pad of celite. And then extracted with CH₂Cl₂, washed, dried and concentrated to give 75A.

To 75A (180 mg, 0.2 mmol) in CH₂Cl₂ (2 ml) 0° C. was added TEA (60 mg, 0.6 mmol) and methyl isocyanate (24 mg, 0.4 mmol). Reaction was warmed to r.t. and stirred overnight. The solution was concentrated to give 75B

Example 75

75B was dissolved in HCl (5 ml 4 M HCl in dioxane) and stirred at r.t. until all the starting materials was consumed. Purification by preparative HPLC gave the title compound as oil. MS (M+H) 441, HPLC retention time 2.48 min.

Example 76 3-[1-(2-Amino-2-methyl-propionylamino)-2-benzyloxy-ethyl]-5,6,7,8-tetrahydro-[1,2,4]triazolo[4,3-a]pyridine-8-carboxylic acid ethyl ester

To a cooled solution of potassium hydroxide (100 ml, 40% in water) in ether (500 ml) at 0° C. was added 1-methyl-3-nitro-1-nitoroguanidine (15 g, 0.102 mol) slowly over 15 min. The upper organic phase was poured into a flask containing 30 g potassium hydroxide. After 5 min. the ether solution was slowly added to 3-Benzyloxy-2-tert-butoxycarbonylamino-propionic acid (20.5 g, 0.069 mol) in THF/CH₂Cl₂ (200 ml). After stirring for 5 min the solution was concentrated to give 76A.

To a solution of 76A (22.8 mg, 74.8 mmol) in 250 ml MeOH was added hydrazine (4.8 g, 149.8 mmol) and the mixture refluxed for 2 days. The solution was concentrated to give crude 76B.

To a solution of 2-Oxo-piperidine-3-carboxylic acid ethyl ester (0.86 g, 5 mmol) in CH₂Cl₂ (10 ml) was added trimethyloxonium tetrafluoroborate (0.74 g, 5 mmol) and stirred overnight followed by addition of 76B (1.5 g, 5 mmol). The mixture was stirred for 24 h. The solution was diluted with CH₂Cl₂, washed with water, brine, dried and concentrated to give 76C as a white foam (2.5 g, <99%).

The solution of 76C (1.3 g, 2.8 mmol) in MeOH (27 ml) was refluxed for 4 days. The mixture was concentrated to give 76D.

To 76D (1.2 g, 2.8 mmol) in CH₂Cl₂ was added HCl (5 ml 4 M HCl in dioxane) and stirred at r.t. until all the starting materials was consumed. The solution was concentrated. To a CH₂Cl₂ (15 ml) solution of the residue was added EDAC (0.8 g, 0.4.16 mmol) and HOBT (0.56 g, 4.16 mmol) and (i-Pr)₂NEt (7.15 g, 55.4 mmol) and 2-tert-butoxycarbonylamino-2-methyl-propionic acid (0.68 g, 3.32 mmol). The reaction was stirred overnight and then extracted with EtOAc. The organic solution was washed with water, brine, dried and concentrated. Purification by flash chromatography on silica gel (5% CH₃OH/CH₂Cl₂ as elutant) gave 76E.

Example 76

76E (50 mg, 0.1 mmol) in CH₂Cl₂ (5 ml) was treated with HCl (2 ml 4 M HCl in dioxane) and stirred at r.t. until all the starting materials was consumed. Purification by preparative HPLC gave the title compound as a salt (22 mg, 55%). MS (M+H) 430, HPLC retention time 2.63 min.

Example 77 2-Amino-N-[2-benzyloxy-1-(5,6,7,8-tetrahydro-[1,2,4]triazolo[4,3-a]pyridin-3-yl)-ethyl]-2-methyl-propionamide

To a solution of 76E (0.32 g, 0.6 mmol) in THF (1 ml) was added H₂O (4 ml), MeOH (0.5 ml) and Lithium hydroxide (6 ml of 4N solution). The mixture was stirred at r.t. for 1.5 h. The pH of the solution was adjusted to 2 with the slow addition of 1N HCl, followed by extraction with CH₂Cl₂ washed with water, brine, dried and concentrated to give 77A (270 mg, 89%)

Example 77

To 77A (135 mg, 0.27 mmol) in ether (2.5 ml) was added methylamine (0.27 ml, 0.54 mmol, 2M in THF), HOBT (73 mg, 0.54 mmol) and EDAC (103 mg, 0.54 mmol). After stirring for 24 h, the solution was extracted with CH₂Cl₂, washed with water, brine, dried and concentrated. The residue in CH₂Cl₂ (2 ml) was treated with HCl (1 ml 4 M HCl in dioxane) and stirred at r.t. until all the starting materials was consumed. Purification by preparative HPLC gave the title compound as a foam (61 mg, 65%). MS (M+H) 358, HPLC retention time 1.86 min.

Example 78 3-[1-(2-Amino-2-methyl-propionylamino)-2-benzyloxy-ethyl]-5,6,7,8-tetrahydro-[1,2,4]triazolo[4,3-a]pyridine-7-carboxylic acid ethyl ester

To a solution of ethyl isonipecotate (20.4 g, 0.13 mmol) in CH₂Cl₂ (120 ml) was added di-tert-butyl dicarbonate (31.1 g, 0.13 mol). After 5 h of stirring at r.t, the reaction was quenched with water and extracted with CH₂Cl₂, washed with water, brine, dried and concentrated. Purification by flash chromatography on silica gel (1:6 EtOAc/hexane as elutant) gave 78A.

To a solution of 78A (10.38 g, 40.4 mmol) in water (120 ml) and acetonitrile (25 ml) at r.t. was added sodium periodate (25.9 g, 121.1 mmol) and ruthenium oxide (0.5 g, 3.63 mmol). After stirring for 6 h the mixture was filtered. The residue was washed with CH₂Cl₂ and the aqueous layer was extracted with CH₂Cl₂, dried and concentrated. The residue in CH₂Cl₂ (100 ml) was treated with HCl (14 ml 4 M HCl in dioxane) and stirred at r.t. until all the starting materials was consumed. Purification by flash chromatography on silica gel (5% CH₃OH/CH₂Cl₂ as elutant) gave 78B.

78C was prepared using the method described in 76C substituting 2-Oxo-piperidine-3-carboxylic acid ethyl ester with 78B (1.2 g, 7.1 mmol) and 76B (2.9 g, 7.1 mmol). 78C was obtained as a colorless oil (3.4 g, <99%).

Example 78 was prepared by using the same methods as described to prepare 76D substituting 76C with 78C to provide the title compound as a foam (17 mg). MS (M+H) 430, HPLC retention time 2.56 min.

Preparative HPLC separation of Example 78 gave the two diastereomers as Example 78a MS (M+H) 430, HPLC retention time 2.55 min and Example 78b MS (M+H) 430, HPLC retention time 1.89 min.

Example 79 3-[1-(2-Amino-2-methyl-propionylamino)-2-benzyloxy-ethyl]-7-phenyl-5,6,7,8-tetrahydro-[1,2,4]triazolo[4,3-a]pyridine-7-carboxylic acid methyl ester

To a cooled solution of potassium hydroxide (15 ml, 40% in water) in ether (100 ml) at 0° C. was added 1-methyl-3-nitro-1-nitoroguanidine (5 g, 34 mmol) slowly over 15 min. The upper organic phase was poured into a flask containing 30 g potassium hydroxide. After 5 min the ether solution was slowly added to 4-formyl-4-phenyl-piperidine-1-carboxylic acid tert-butyl ester (4.15 g, 13.6 mmol) in THF (20 ml). After stirring for 5 min the solution was concentrated to give 79A (4.4 g, <99%).

79B was prepared using the method described in 78B substituting 78A with 79A (4 g, 12.5 mmol) and. 79B was obtained as a colorless oil (3.1 g, 75%).

79B (3.1 g, 9.3 mmol) in CH₂Cl₂/MeOH (6 ml/6 ml) was treated with HCl (5 ml 4 M HCl in dioxane) and stirred at r.t. until all the starting materials was consumed. Purification by flash chromatography on silica gel (5% CH₃OH/CH₂Cl₂ as elutant) gave 79C.

79D was prepared using the method described in 76C substituting 2-Oxo-piperidine-3-carboxylic acid ethyl ester with 79C (830 mg, 35.6 mmol) and 76B (2.9 g, 7.1 mmol). 79D was obtained as a colorless oil (2.2 g, <99%).

Example 79 was prepared by using the same methods for 76D, 76E and example 76 substituting 76C with 79D 76D with 79E, 76E with 79F to provide the title compound as a foam (8.5 mg). MS (M+H) 492, HPLC retention time 2.91 min.

Example 80 and Example 81

Example 79 was subjected to preparative HPLC to separate the diastereomers to give 24 mg of Example 80 (MS (M+H) 492, HPLC retention time 2.89 min) & 34 mg of Example 81 (MS (M+H) 492, HPLC retention time 3.01 min)

Example 82 3-[1-(2-Amino-2-methyl-propionylamino)-2-benzyloxy-ethyl]-5,6,7,8-tetrahydro-[1,2,4]triazolo[4,3-a]pyridine-7-carboxylic acid ethylamide

82A was prepared using the method described in 77A substituting 76E with 78D (200 mg, 0.38 mmol) and. 82A was obtained as a colorless oil (168 mg, 89%).

Example 82

To a solution of 82A (89 mg, 0.18 mmol) in CH₂Cl₂ (2 ml) at −40° C. was added N-methyl morpholine and isobutyl chloroformate (24.3 mg, 0.18 mmol). The mixture was stirred for 1 h at −40° C. Then 2M solution of ethylamine in THF (90 μl, 0.18 mmol) was added. The reaction was slowly warmed up to r.t. and concentrated. The residue was redissolved in CH₂Cl₂ (2 ml) was treated with HCl (1 ml 4 M HCl in dioxane) and stirred at r.t. until all the starting materials was consumed. Purification by preparative HPLC gave the title compound as a salt (14 mg, 20%). MS (M+H) 429, HPLC retention time 1.89 min.

Compounds 83 and 83a were synthesized utilizing the procedures described in Example 82, utilizing the appropriate starting materials.

83

90 2.42 491 83a Other diastereomer

95 2.73 491

Example 84 2-Amino-N-[1-(6-chloro-benzo[d] isoxazol-3-yl)-4-phenyl-butyl]-2-methyl-propionamide

To 60 ml of EtOH was added Na metal (2.3 g, 100 mmol) slowly & stirred for 30 min. until all the Na metal had dissolved. 2-Acetyl amino-malonic acid diethyl ester (21.7 g, 100 mmol) was then added. After stirring for 1 h at r.t, (3-bromo-propyl)-benzene (15.2 ml, 100 mmol) was added & then heated at 75° C. overnight. The mixture was quenched with water extracted with EtOAc, dried over Na₂SO₄, filtered & concentrated. The residue was triturated with hexane to give a white solid 84A (18.7 g, 81%)

To a stirred solution of A (4.3 g, 18.7 mmol) in 1N NaOH (56 ml) and THF (50 ml), Di-tert-butyl dicarbonate (4.9 g, 22.5 mmol) was added at RT. After 3 h of stirring benzenethiol (3.1 g, 28.1 mmol), EDAC (7.1 g, 37 mmol) and HOBT (5.1 g, 37 mmol) were added and the reaction mixture was stirred at r.t. overnight. The mixture was extracted with EtOAc washed with water, dried over Na₂SO₄, filtered & concentrated. Purification by flash chromatography on silica gel (1:9 EtOAc/hexane as elutant) gave a white solid 84B (3.8 g, 53%).

To 84B (1.1 g, 3.8 mmol) in THF (10 ml) under nitrogen was added dichlorobis(triphenylphosphine)Palladium (II) (200 mg, 0.28 mmol) at 0° C. followed by 3-chloro-4-fluoro phenylzinc iodide (17 ml, 8.5 mmol) 0.5M in THF via syringe. After stirring the mixture at r.t. for 3 h it was quenched with water extracted with EtOAc, dried over Na₂SO₄, filtered and concentrated. Purification by flash chromatography on silica gel (1:9 EtOAc/hexane as elutant) gave a white solid 84C (710 mg, 45%)

To a stirred solution of 84C (700 mg, 1.7 mmol) in pyridine (5 ml) was added Hydroxylamine hydrochloride (240 mg, 3.4 mmol) & heated in a sealed tube for 2 h. The mixture was concentrated, the residue dissolved in DMF (5 ml) and potassium hydroxide (450 mg, 6.8 mmol) added. The mixture was heated at 85° C. overnight, quenched with water extracted with EtOAc, dried over Na₂SO₄, filtered and concentrated. Purification by flash chromatography on silica gel (1:9 EtOAc/hexane as elutant) gave a white solid 84D (390 mg, 57%)

To a stirred solution of 84D (390 mg, 0.97 mmol) was added 5 ml of 20% TFA/CH₂Cl₂ and stirred at r.t. for 2 h. The mixture was concentrated, the residue dissolved in 1N NaOH, water brine, dried and concentrated. The residue was taken in 5 ml CH₂Cl₂ & Boc-2-Aminoisobutyric acid (390 mg, 1.9 mmol), 1-Hydroxybenzotriazole hydrate (270 mg, 2 mmol), EDAC (380 mg, 2 mmol) were added. The mixture was stirred at r.t. overnight, extracted with EtOAc washed with water, dried over Na₂SO₄, filtered & concentrated. Purification by flash chromatography on silica gel (1:9 EtOAc/hexane as elutant) gave a white solid 84E (360 mg, 76%).

Example 84

A solution of 84E (13 mg, 0.03 mmol) in 1 ml of 20% TFA/CH₂Cl₂ was stirred for 1 h and then concentrated. The residue was purified by preparative HPLC to give the title compound as a white solid (34.5 mg, 53%). MS (M+H) 386, HPLC retention time 3.32 min.

Example 85 2-Amino-N-[1-(5-chloro-benzo[d]isoxazol-3-yl)-4-phenyl-butyl]-2-methyl-propionamide

To a stirred solution of 2,5-Dichloro-benzoic acid (3.5 g, 18.3 mmol) in CH₂Cl₂ (5 ml) was added Oxalyl chloride (18.3 ml, 2M in CH₂Cl₂) followed by several drops of DMF. The mixture was stirred at r.t. for 2 h and concentrated. The residue was dissolved in CH₂Cl₂ (20 ml) & TEA (7.6 ml, 55 mmol) was added followed by N,O-Dimethylhydroxyamine hydrochloride (3.6 g, 36.6 mmol). The mixture was stirred at r.t. overnight & extracted with EtOAc washed, dried, filtered & concentrated. Purification by flash chromatography on silica gel (EtOAc/hexane as elutant) gave a pale brown solid 85A (3 g, 67%).

To But-3-ynyl-benzene (1.5 g, 11.5 mmol) in THF (15 ml) at 0° C. was added nbuLi (5.3 ml, 2.5M in hexane) via syringe. After stirring for 30 min. 85A (2.4 g, 10.3 mmol) in 5 ml THF was added followed by additional 1 h of stirring at 0° C. The mixture was quenched with water, extracted with EtOAc, dried over Na₂SO₄, filtered & concentrated. Purification by flash chromatography on silica gel (1:9 EtOAc/hexane as elutant) gave a yellow liquid 85B (1.3 g, 42%)

To C (1.3 g, 4.3 mmol) in MeOH (15 ml) and EtOAc (5 ml) was added Pd—C catalyst (260 mg, 5% by weight of palladium) and stirred at r.t. with a hydrogen balloon for 6 h. The catalyst was filtered and concentrated. Purification by flash chromatography on silica gel (5:95 EtOAc/hexane as elutant) gave a yellow liquid 85C (1.1 g, 85%).

To a stirred solution of 85C (900 mg, 2.9 mmol) in dioxane (5 ml) was added bromine (470 mg, 2.9 mmol) in dioxane (5 ml) slowly at r.t. via syringe & then stirred overnight. The mixture was quenched with water extracted with EtOAc, dried over Na₂SO₄, filtered & concentrated & the residue passed through a silica pad to give a pale yellow oil as the intermediate. The intermediate was dissolved in acetone (10 ml) and sodium azide (200 mg, 3.1 mmol) in 2 ml water was added. The mixture was stirred at r.t. for 30 min and concentrated, extracted with EtOAc, dried over Na₂SO₄, filtered & concentrated. Purification by flash chromatography on silica gel (1:9 EtOAc/hexane as elutant) gave 85D (710 mg, 70%).

To 85D (710 mg, 2 mmol) in MeOH (10 ml) was added di-tert-butyl dicarbonate (1.3 g, 6 mmol) and Pd—C catalyst (70 mg, 5% by weight of palladium) and stirred at r.t. with a hydrogen balloon overnight. The catalyst was filtered & concentrated. Purification by flash chromatography on silica gel (1:9 EtOAc/hexane as elutant) gave a white solid 85E (250 mg, 89%).

85F was prepared using the method described in 84D substituting 84C with 85E (650 mg, 1.5 mmol) and hydroxylamine hydrochloride (210 mg, 3 mmol) & potassium hydroxide (400 mg, 6 mmol). 85F was obtained as a colorless oil (490 mg, 81%).

85G was prepared using the method described in 84E substituting 84D with 85F (490 mg, 1.2 mmol) and Boc-2-Aminoisobutyric acid (490 mg, 2.4 mmol). 85G was obtained as a colorless oil (540 mg, 91%).

85G was subjected to chiral separation using chiral prep HPLC (Chiralpak AD 5 cm×50 cm 2 μm) & 20% IPA/hexane as elutant) to give 265 mg of 85H (rt=6.54 min)) & 265 mg of 85I (rt=12.85 min).

Example 85

85I (265 mg, 0.55 mmol) was treated with 3 ml of 20% TFA/CH2Cl2 according to the method for Example 84 to give the title compound as a white solid (245 mg) with 99% purity. MS (M+H) 387, HPLC retention time 3.34 min.

Example 86 2-Amino-N-[1-(5-chloro-benzo[d] isoxazol-3-yl)-4-phenyl-butyl]-2-methyl-propionamide

86H (10 mg, 0.02 mmol) was treated with 20% TFA/CH₂Cl₂ (0.7 ml) according to the method for Example 84 to give the title compound as a white solid (7.4 mg) with 97% purity. MS (M+H) 386, HPLC retention time 3.37 min.

Example 87 2-Amino-N-[1-(6-methanesulfonyl-[1,2,4]triazolo[4,3-a]pyridin-3-yl)-3-phenyl-propyl]-2-methyl-propionamide

To 1C (200 mg, 0.447 mmol) in THF (3 ml) was added isopropyl magnesium chloride (1.34 ml, 2.68 mmol, 2M solution) at r.t. After 1 h of stirring, dimethyldisulphide (94.2 mg) was added and stirred overnight. Diluted with water and extracted with CH₂Cl₂, dried and concentrated. Purification by flash chromatography on silica gel (1:1 EtOAc/hexane as elutant) gave a white solid 87A.

To 87A (15 mg, 0.03 mmol) in CH₂Cl₂ (1 ml) was added m-chloro perbenzoic acid (21 mg, 0.07) and stirred for 2 h. The mixture was concentrated and redissolved in CH₂Cl₂ washed with 1N NaOH, brine, dried and concentrated. The residue in MeOH (1 ml) was treated with 4NHCl (1 ml) for 3 h at r.t. and then concentrated. The residue was taken in 1.5 ml CH₂Cl₂ & Boc-2-Aminoisobutyric acid (390 mg, 1.9 mmol), 1-HOAT (10 mg, 0.07 mmol), EDAC (14 mg, 0.072 mmol) and TEA (20 μl, 0.144 mmol) were added. The mixture was stirred at r.t. overnight, extracted with EtOAc washed with water, dried over Na₂SO₄, filtered & concentrated to give 87B

Example 87

A solution of 87B in MeOH (1 ml) was treated with 4N HCl (1 ml) and stirred for 1 h and then concentrated. The residue was purified by preparative HPLC to give the title compound as a white solid (15 mg). MS (M+H) 432, HPLC retention time 2.4 min.

Example 88 Methyl-carbamic acid 3-[1-(2-amino-2-methyl-propionylamino)-2-benzyloxy-ethyl]-7-phenyl-5,6,7,8-tetrahydro-[1,2,4]triazolo[4,3-a]pyridin-7-ylmethyl ester

To a solution of 79E (350 mg, 0.6 mmol) in CH₂Cl₂ (6 ml) was added lithium borohydride (1.2 ml, 2.4 mmol, 2M solution) at 0° C. The mixture was warmed to r.t. and stirred overnight. The reaction was quenched with pH 3 buffer, stirred for 30 min and extracted with CH₂Cl₂, washed with brine, dried, filtered and concentrated to give crude product 88A (336 mg, <99%)

Example 88

To a solution of 88A in CH₂Cl₂ (3 ml) at 0° C. was added TEA (127 μl, 0.91 mmol) and methylisocyanate (35 mg, 0.61 mmol). The mixture was warmed to r.t. and stirred overnight. The residue in CH₂Cl₂ (3 ml) was treated with HCl (1.5 ml 4 M HCl in dioxane) and stirred at r.t. until all the starting materials was consumed. Purification and separation by Preparative HPLC gave the two diastereomers as Example 88a MS (M+H) 521, HPLC retention time 2.55 min and Example 88b MS (M+H) 521, HPLC retention time 2.92 min.

Example 89 2-Amino-N-[2-benzyloxy-1-(6-chloro-[1,2,4]triazolo[4,3-b]pyridazin-3-yl)-ethyl]-2-methyl-propionamide

To a slurry of 3-Benzyloxy-2-butoxycarbonylamino-propionic acid (740 mg, 2.5 mmol) in CH₂Cl₂ (10 mL) was added EDAC (475 mg, 2.5 mmol) at r.t. After stirring for 1 h (6-chloropyridazin-3-yl)hydrazine (362 mg, 2.5 mmol) was added. After 2 h, the reaction was quenched with saturated aqueous NaHCO₃. The mixture was extracted with EtOAc, dried, filtered and concentrated. Purification by flash chromatography on silica gel (1:2 EtOAc/hexane as elutant) gave 89A (730 mg, 69%) as a yellow foam.

To a solution of 89A (210 mg, 0.5 mmol) in acetonitrile (5 mL) at 0° C. was added 1,2-dibromo-1,1,2,2-tetrachloroethane (179 mg, 0.55 mmol) followed by triethylamine (0.31 mL, 2.2 mmol) and triphenylphosphine (289 mg, 1.1 μmol). After stirring for 1 h, the mixture was warmed to r.t. and stirred for 2 h. The solution was concentrated and the residue was redissolved in EtOAc, washed with 1:1 brine/10% citric acid, brine, dried, filtered and concentrated. Purification by preparative HPLC gave 89B as an off-white solid (125 mg, 62%).

To MeOH (3.5 ml) at 0° C. was added acetyl chloride (0.8 mL) over 3 min. After stirring the solution for 1 h, the solution was added to 89B (125 mg, 0.31 mmol) in CH₂Cl₂ (0.3 ml) at r.t. The mixture was stirred at r.t. for 2 h and then concentrated twice from CH₂Cl₂. The residue was redissolved in CH₂Cl₂ (1 mL) and added to a slurry of Boc-2-aminoisobutyric acid (94.4 mg, 0.46 mmol), HOAT (63.6 mg, 0.46 mmol) and N-methyl morpholine (0.051 ml, 0.5 mmol) in CH₂Cl₂ (2 ml). The solution was stirred for 15 h, diluted with EtOAc, washed with saturated aqueous NaHCO₃, dried, filtered and concentrated. Purification by flash chromatography on silica gel (1:99 MeOH/EtOAc as elutant) gave 89C as a colorless foam (69 mg, 46%).

Example 89

To MeOH (3.5 mL) at 0° C. was added acetyl chloride (0.8 mL) over 3 min. After stirring the solution for 1 h, the solution was added to 89C (69 mg, 0.14 mmol) in CH₂Cl₂ (0.3 ml) at r.t. The mixture was stirred at r.t. for 2 h and then concentrated. The residue was dissolved in water, filtered through a 0.45μ nylon filter and lyophilized to give the title compound as a white amorphous solid. MS (M+H) 389, HPLC retention time 2.92 min.

Example 90 (4-Hydroxy-butyl)-carbamic acid 3-[1-(2-amino-2-methyl-propionylamino)-2-benzyloxy-ethyl]-imidazo[1,5-a]pyridin-5-ylmethyl ester

To a stirred solution of potassium phthalimide (1.04 g, 5.15 mmol) at RT under argon in DMF (40 mL) was added a DMF solution (10 mL) of (6-bromomethylpyridin-2-yl)-methanol (1.03 g, 5.11 mmol) over 5 min. The slurry was warmed at 40° C. and stirred overnight. The DMF was then distilled off at 40-55° C. (1 Torr). The powdery residue was stirred rapidly in CH₂Cl₂ for 20 min and filtered through Celite. The residue was redissolved in CH₂Cl₂, washed with water, dried and concentrated to give 90A as an off-white solid (1.16 g, 85%)

To a stirred solution of 90A (1.2 g, 4.32 mmol) in EtOH (60 ml) was added hydrazine (0.41 mL, 13.1 mmol) and the reaction mixture was refluxed for 14 h under argon. The solution was cooled, filtered through Celite and the filtrate concentrated. The residue was redissolved in MeOH, cooled, filtered and concentrated to give (6-aminomethyl-pyridin-2-yl)-methanol. To a stirred solution of Boc-(O-benzyl)serine (1.3 g, 4.32 mmol) and N-methyl morpholine (0.484 mL, 4.4 mmol) in THF (10 mL) at −12° C. was added isobutylchloroformate (0.56 mL, 4.35 mmol). After 30 min stirring, a slurry of (6-aminomethylpyridin-2-yl)-methanol in THF was added over 1 min. The solution was stirred at r.t. for 1 h. The reaction was diluted with EtOAc, washed with saturated aqueous sodium bicarbonate solution, dried and concentrated to give 90B as a yellow oil (1.9 g). The material was used without purification in the following reaction.

To a solution of 90B (1.9 g, 4.3 mmol) in DMF (10 ml) was added imidazole (410 mg, 6.02 mmol) and t-butyldimethyl-silylchloride (750 mg, 4.98 mmol). The solution was stirred for 20 h. The reaction was quenched with water, extracted with EtOAc, dried, filtered and concentrated. Purification by flash chromatography on silica gel (19:81 EtOAc/CH₂Cl₂ as elutant) gave 90C (1.4 g, 53%) as a colorless oil.

To a stirred slurry of 90C (1.4 g, 2.6 mmol) and 1,2-dibromo-1,1,2,2-tetrachloroethane (1.9 g, 5.8 mmol) in acetonitrile (15 mL) at 0° C. was added triphenylphosphine (1.5 g, 5.8 μmmol) and TEA (1.60 mL, 11.6 mmol). After 30 min, the resulting yellow slurry was stirred at r.t. for 16 h. A red solution had formed. This was concentrated, partitioned between water and EtOAc, dried, filtered and concentrated. Purification by flash chromatography on silica gel (3:17 EtOAc/CH₂Cl₂ as elutant) gave 90D as a tan oil (625 mg, 46%).

To MeOH (8 mL) at 0° C. was added acetyl chloride (2.0 mL) over 3 min. After stirring the solution for 1 h, it was added to 90D (620 mg, 1.2 mmol) at 0° C. The solution was stirred for 2 h and concentrated. The residue was dissolved in CH₂Cl₂ (5 mL) and added to a stirred slurry of Boc-2-aminoisobutyric acid (370 mg, 1.82 mmol), HOAt (249 mg, 1.82 mmol) and EDAC (346 mg, 1.82 mmol) followed by addition of N-methylmorpholine (0.3 mL, 2.7 mmol). The mixture was stirred for 15 h, diluted with CH₂Cl₂, washed with saturated aqueous NaHCO₃, dried and concentrated. Purification by flash chromatography on silica gel (3:17 EtOAc/CH₂Cl₂ as elutant) gave 90E as a colorless foam (450 mg, 77%).

To a solution of 90E (279 mg, 0.58 mmol) and pyridine (0.12 mL, 1.4 mmol) in THF (3 mL) 0° C. was added 4-nitrophenyl chloroformate (256 mg, 1.3 mmol) in CH₂Cl₂ (3 mL). The solution was stirred for 1 h and concentrated. The residue was dissolved in THF (5 mL) and 4-aminobutanol (0.5 mL) was added. The solution was stirred for 30 min, diluted with EtOAc, washed with 1N NaOH, dried and concentrated. Purification by flash chromatography on silica gel (EtOAc as elutant) gave 90F as a yellow oil (207 mg, 60%).

Example 90

To MeOH (8 mL) at 0° C. was added acetyl chloride (2.0 mL) over 3 min. After stirring the solution for 1 h, it was added to 90F (204 mg, 0.342 mmol) at 0° C. The solution was stirred for 2 h and concentrated. The residue was lyophilized to give the title compound as a yellow solid. MS (M+H) 498, HPLC retention time 2.64 min.

The following compound has been synthesized utilizing the procedures described in Example 90, utilizing the appropriate starting materials. Example 263 was also prepared by this method.

HPLC HPLC Compound Mass Purity Retention number Structure M + H (%) (min) 91

584 98 2.6

Example 92 3-[1-(2-Amino-2-methyl-propionylamino)-2-benzyloxy-ethyl]-5,6-dihydro-8H-[1,2,4]triazolo[4,3-a]pyrazine-7-carboxylic acid benzyl ester

To a solution of 3-Oxo-piperazine-1-carboxylic acid benzyl ester (1.5 g, 6.4 mmol) in CH₂Cl₂ (20 ml) was added trimethyloxonium tetrafluoroborate (0.99 g, 6.72 mmol). The solution was stirred for 60 h. A solution of (2-Benzyloxy-1-hydrazinocarbonyl-ethyl)-carbamic acid tert-butyl ester (2.07 g, 309.7 mmol) in CH₂Cl₂ (20 ml) was added to give a clear solution. After 2 h of stirring the solution was diluted with CH₂Cl₂, washed with water, dried and concentrated to give 92A as a white foam (3.2 g, 95%).

A solution of 92A (2.6 g, 4.9 mmol) in EtOH (26 ml) was treated by microwave at 120° C., 60W for 10 min. The mixture was treated with 4NHCl in dioxane (30 ml) for 30 min. The solution was concentrated and coevaporated with ethanol to 92B (2.8 g).

To a CH₂Cl₂ (100 ml) solution of 2-tert-butoxycarbonylamino-2-methyl-propionic acid (1.34 g, 66.1 mmol) was added EDAC (1.8 g, 9.45 mmol) and HOBT (1.27 g, 9.45 mmol), DMAP (0.77 g, 6.3 mmol), and TEA (2.63 ml, 18.9 mmol). This solution was stirred at r.t. for 10 min before the addition of 92B (2.8 g, 6.3 mmol). The reaction was completed in 2 h. The solution was diluted with CH₂Cl₂, washed with water, 1NHCl, 1N NaOH, dried and concentrated. Purification by flash chromatography on silica gel (5:95 MeOH/CH₂Cl₂ as elutant) gave 92C as a foam (3 g).

Example 92

To a solution of 92C (250 mg) in CH₂Cl₂ was treated with HCl (30 ml 4 M HCl in dioxane) and stirred at r.t for 1 h. The solution was concentrated and the residue crystallized using MeOH/EtOAc to give the title compound as a solid (130 mg). MS (M+H) 493, HPLC retention time 2.33 min.

Example 93 3-[1-(2-Amino-2-methyl-propionylamino)-2-benzyloxy-ethyl]-5,6-dihydro-8H-[1,2,4]triazolo[4,3-a]pyrazine-7-carboxylic acid naphthalen-2-ylmethyl ester

To a solution of 92C (2.6 g, 4.4 mmol) and catalyst palladium on carbon (30 mg) in MeOH (70 ml) under nitrogen was added ammonium formate (1.3 g, 20.9 mmol). The solution was stirred for 3 h and filtered through celite and concentrated to give 93A (2.45 g)

To a solution of 2-naphthalenmethanol (11 mg, 0.07 mmol) in CH₂Cl₂ (0.25 ml) was added n-methylmorpholine (12 μl, 0.1 mmol) and 4-nitrophenyl chloroformate (15 mg, 0.0735 mmol) in CH₂Cl₂ (0.25 ml). The solution was stirred overnight followed by addition of 93A (32 mg, 0.07 mmol) in CH₂Cl₂ (0.08 ml) and TEA (0.1 ml, 0.7 mmol). The solution was stirred overnight and diluted with CH₂Cl₂, washed with 1NHCl, 1NaOH, water, dried and concentrated to give 93B.

Example 93

To a solution of 93B in CH₂Cl₂ was treated with TFA in CH₂Cl₂ and stirred at r.t for 1 h. The solution was concentrated. The residue was purified by preparative HPLC to give the title compound. MS (M+H) 543, HPLC retention time 2.82 min.

The following compounds were synthesized utilizing the procedures as described in Example 93, utilizing the appropriate starting materials as know to those skilled in the art.

Compound number R Mass M + H HPLC Purity (%) HPLC Retention (min) 94

523 80 2.77 95

507 90 2.57 96

521 90 2.8 97

511 85 2.4 98

549 81 3.04 99

529 85 2.5 100

529 90 2.48 101

518 97 2.08 102

529 80 2.42 103

511 90 2.4 104

511 95 2.37 105

523 90 2.37 106

535 90 2.97

The following examples were prepared using procedures as described in the general synthetic schemes and working examples above, utilizing the appropriate starting materials as know to those skilled in the art.

HPLC HPLC Compound Mass Purity Retention number Structure M + H (%) (min) 107

437 92 2.5 108

420 90 1.71 109

416 98 1.9 110

433 96 1.8 111

459 90 1.9 112

448 85 2.3 113

390 2.7 99 114

473 88 2.24 115

416 100 1.9 116

459 90 1.87 117

486 100 1.23 118

434 93 2.6 119

455 99 4.04 120

469 97 2.73 121

368 92 1.5 122

450 95 2.2 123

407 98 2.2 124

447 95 2.05 125

413 95 1.9 126

469 90 2.52 127

493 2.98 128

398 90 2.26 129

412 98 2.71 130

499 97 2.6 131

483 85 3.1 132

473 95 2.4 133

399 93 1.7 134

502 94 135

409 86 1.14 136

446 99 2.3 137

370 95 2.07 138

431 99 2.3 139

380 90 140

432 97 2.2 141

413 95 2.4 142

467 93 2.9 143

467 97 2.86 144

521 89 2.8 145

521 85 2.96 146

457 100 2.9 147

417 85 1.37 148

445 90 1.95 149

520 95 3.2 150

520 90 3.26 151

458 97 2.4 152

445 90 2.22 153

359 90 0.4 154

463 95 1.81 155

539 95 2.9 156

445 95 2.08 157

463 95 2.17 158

477 85 1.95 159

397 98 1.5 160

397 94 1.13 161

385 95 162

412 100 1.6 163

499 95 2.03 164

549 94 2.56 165

379 98 1.5 166

497 96 2.58 167

499 96 2.85 168

471 95 2.43 169

485 95 2.5 170

513 94 2.7 171

368 98 1.21 172

491 95 2.21 173

447 97 2.8 174

467 95 2.8 175

400 95 2.34 176

453 90 2.37 177

369 98 2.58 178

499 95 1.75 179

485 90 1.6 180

423 97 5.80 181

506 94 3.2 182

465 100 2.8 183

430 88 2.4 184

463 94 3.4 185

414 94 2.23 186

414 94 2.23 187

413 97 2.6 188

535 90 2.62 189

535 95 2.8 190

519 96 2.88 2.91 191

563 90 2.76 192

563 90 2.87 193

442 98 2.5 194

497 98 195

485 98 196

384 95 1.67 197

527 90 2.64 198

527 84 2.56 199

535 98 2.5 200

535 95 2.8 201

563 98 2.68 202

563 98 2.9 203

519 90 2.86 204

519 90 2.94 205

444 90 1.77 206

448 95 6.04 207

432 98 2.94 208

483 90 2.53 209

459 90 2.25 210

512 95 2.36 211

470 98 3.07 212

495 100 2.82 213

512 100 2.87 214

499 100 2.87 215

482 100 2.78 216

532 100 2.92 217

475 95 1.61 218

505 85 2.41 219

528 90 2.62 220

521 90 2.32 221

527 90 2.49 222

521 90 2.7 223

561 90 2.63 224

547 90 2.9 225

499 94 2.4 226

404 95 1.45 227

507 92 2.5 228

499 100 3.05 229

499 100 3.06 230

507 97 2.51 231

495 94 2.9 232

495 95 2.9 233

463 97 2.85 234

482 93 2.85 235

482 99 2.85 236

500 97 2.9 237

509 97 3.06 238

557 92 3.4 239

495 87 2.68 240

559 98 3.4 241

489 80 2.6 242

508 90 2.85 243

383 90 1.96 244

383 88 2.19 245

527 96 2.8 246

584 90 2.44 247

500 98 2.94 248

514 100 3.1 249

566 94 3.28 250

455 98 2.55 251

507 82 2.2 252

370 95 1.38 253

411 96 5.19 254

415 95 4.67 255

543 91 2.76 256

569 94 2.88 257

521 93 2.74 258

575 98 2.79 259

575 92 2.74 260

507 90 2.43 261

496 98 2.62 262

471 98 2.38 263

499 95 2.58 264

515 98 2.50 265

531 92 2.62 266

547 92 2.93 267

525 98 2.84 268

525 96 2.76 269

511 99 2.73 270

511 98 2.62 271

501 95 2.83 272

523 96 2.93 273

398 93 1.90 274

477 95 2.41 275

394 95 2.57 276

429 94 4.73 277

491 95 2.17 278

412 95 2.07 279

541 95 3.13 280

555 95 3.18 281

555 95 3.13 282

542 90 2.16 283

556 90 2.22 284

556 90 2.22 285

460 95 2.54 286

525 90 2.07 287

521 90 2.72 288

601 90 3.34 289

539 90 2.85 290

581 90 3.33 291

507 90 2.42 292

383 97 1.47 293

359 100 0.22 294

518 95 2.80 295

485 93 2.61 296

413 91 1.39 297

426 100 2.59 298

437 98 2.11 299

532 80 2.50 300

532 100 2.64 301

540 93 2.89 302

477 86 1.89 303

540 95 3.01 304

498 82 2.37 305

475 75 2.30 306

475 85 2.30 307

425 99 1.56 308

455 93 1.86 309

395 90 1.73 310

409 93 1.82 311

500 96 2.64 312

495 96 2.78 313

510 98 2.92 314

475 89 1.99 315

495 95 2.79 316

525 96 2.92 317

437 100 2.11 318

467 97 1.37 319

439 98 2.26 320

468 98 1.13 321

465 94 1.90 322

487 99 2.57 323

480 83 0.73 324

411 99 1.74 325

524 96 2.56 326

574 95 2.93 327

498 93 1.64 328

568 95 3.05 329

602 93 3.08 330

372 80 1.75 331

423 98 1.14 332

371 90 2.14 333

414 83 2.29 334

485 93 2.25 335

497 98 2.63 336

490 98 3.01 337

529 98 3.01

Example 338

To a solution n-BuLi (2.5 M in THF, 84 ml, 0.21 mol) in toluene (200 mL) at −10C was added n-BuMgCl (2.0 M in THF, 52.5 ml, 0.105 mol) over 10 min. The mixture was stirred at −10C for 30 min, then 2,6-dibromopyridine (71.07 g, 0.3 mol) in toluene (500 mL) was added via an additional funnel over 30 min. The resulting suspension was stirred at −101C for 2.5 hours, then transferred via a canula to a cooled solution of DMF in toluene (200 mL). The solution was stirred at −10° C. for 30 min, then 30% citric acid (300 mL) was added. After stirring for 30 min, the organic phase was washed with water (300 mL), brine (200 mL), and dried over sodium sulfate. After filtration the filtrate was concentrated to give 338A as light yellow colored solid (54.2 g). HPLC(A) retention time 1.88 min.

To a stirred soln of 338A (29.0 g, 0.151 mol) in methanol (600 mL) cooled to 12° C. in a water bath is added sodium borohydride (5.89 g, 0.16 mol) in small batches over 20 min. The temperature is not allowed to rise above 23° C. The reaction mixture was stirred 1 h more and then cautiously quenched with ice cold 10% HCl to pH2 (total of 64 mL). The reaction mixture was concentrated in vacuo, generating considerable foaming. The residue was redissolved in methylene chloride (250 mL) and stirred with a 5% potassium carbonate solution (150 mL, at pH 8). The aqueous layer was extracted twice with methylene chloride (250 mL each). The combined organics were dried with sodium sulfate, filtered through magnesium sulfate, and concentrated in vacuo to give 338B as a yellow colored oil, (27.65 g). The compound slowly crystallizes to a yellow colored solid. MS (M+H+) 188, 190; HPLC(A) retention time 1.99 min.

To a stirred solution of 338B (25.0 g, 0.129 mol) in DMF (200 mL) at room temperature under argon is added imidazole (17.56 g, 0.258 mol) and then, after the imidazole had dissolved, tert-butyldimethylsilyl chloride1 (23.27 g, 0.155 mol) in one portion. A slight endotherm is noted. After stirring for 16 h., the reaction mixture was quenched with ice water (500 mL) and extracted 3×250 mL hexanes. The hexane extracts were combined, washed twice with water (150 mL) and once with brine. After drying the organics over sodium sulfate, they were filtered through magnesium sulfate, and stripped to give 338C as a light yellow colored oil (39.15 g). MS (M+H) 302, 304; HPLC(A) retention time 4.56 min.

A 1 L 3-necked flask is charged with a solution of 338C (38.5 g, 0.127 mol) in pyridine (500 ml) and treated with hydrazine (40 ml, 1.28 mol) in one portion. A slight endotherm is noted. The reaction mixture is stirred and heated to reflux under argon (pot temperature 109-111° C.) for 45 h. After cooling to room temp in an ice bath, solid sodium bicarbonate (11 g) is added. The mixture is stirred for 1 h and stripped to give a yellow oil. Addition of water (200 mL) leads to formation of a solid with the aid of seed crystals. The solid mass is broken up, collected, and washed with water (5×100 mL). In order to expedite drying, the solid is dissolved in ether (500 mL), washed once with brine, dried over sodium sulfate, and filtered through magnesium sulfate. The organics were concentrated in vacuo to give 338D as an off-white solid (31.5 g). MS (M+H+) 254; HPLC(A) retention time 2.53 min.

A 1 L 3-necked flask (oven-dried) is charged with N-(tert-butoxycarbonyl)-D-serine (35.74 g, 0.12 mol) in THF (250 mL) and cooled to −13° C. (isopropanol/ice bath) under argon. N-Methylmorpholine (13.74 ml, 0.125 mol) is added in one portion (temperature temporarily rises to 2° C.). After the temperature cools again to −13° C., isobutylchloroformate (15.69 ml, 0.12 mol) is added at such a rate as to keep the temperature below −10° C. The reaction mixture is stirred 20 min and then a solution of 338D (30.4 g, 0.12 mol) in THF (100 mL) is added over 15 min, not allowing the temperature to rise above −5.5° C. during this addition process. The addition funnel is rinsed with THF (25 mL) and the yellow reaction slurry is stirred for 90 min. The reaction is quenched at −10° C. with saturated sodium bicarbonate (100 mL) and the aqueous layer is extracted twice with ethyl acetate (500 mL). The combined organics were washed once with brine, 10% citric acid, saturated sodium bicarbonate, and dried over sodium sulfate. After filtering through magnesium sulfate, the volatiles were removed in vacuo, and the residue restripped from methylene chloride/hexanes to give 338E as a yellow foam (63.97 g). MS (M+H+) 531; HPLC(A) retention time 3.91 min.

To a stirred solution of 338E (93.6 g, 0.177 mol) in THF (800 mL) at −78° C. under nitrogen is added triethylamine (196 ml, 1.41 mol). After 10 min, dichlorotriphenylphosphine (194.2 g, 0.583 mol) is added portion wise over 10 min. The mixture was stirred and slowly warmed to room temperature overnight (˜20 h). The volatiles were removed and the residue was filtered through a short silicon gel column, rinsing the column with hexane/ethyl acetate (1:2). The combined filtrates were evaporated to give the crude 338F (200 g, mixed with triphenylphosphine oxide). MS: (M+H+) 513; HPLC (A) retention time 4.30 min.

An alternative procedure: To a stirred solution of 338E (63.95 g, 0.12 mol) in THF (800 ml) at −73° C. under argon is added triethylamine (134 ml, 0.964 mol). After 15 min, dichlorotriphenylphosphine (132.49 g, 0.398 mol) is added portion wise over 30 min, stirred 1 h and then brought to −101C by displacing the acetone cold bath with room temperature water. The reaction mixture is allowed to warm from −10° C. to room temperature in situ overnight, then filtered through Celite and concentrated in vacuo. The resulting solid was dissolved in methylene chloride (750 mL), cooled to 0° C. and treated with ice-cold 10% citric acid (100 mL). The mixture was stirred rapidly for 5 min, the organics washed once with water, saturated sodium bicarbonate, dried (magnesium sulfate), filtered and restripped to give 338F as a light tan colored solid (167.74 g, contaminated with triphenylphosphine oxide).

To methanol (400 ml) at 2° C. was added acetyl chloride (100 g) dropwise over 20 min. After stirring 30 min, the solution was brought to room temperature for 45 min. The methanol solution was added directly to crude 338F (<167 g, ˜0.12 mol) and the mixture was stirred for 3 h, concentrated in vacuo at temperatures below 30° C., and then the brown colored residue was suspended in THF (500 mL) for 30 min. The resulting solid was collected by filtration, and re-suspended in THF (500 mL) for 30 min. After filtration, the solid was dried in vacuo at 40° C. to give 338G as light yellow colored solid (38.6 g). MS (M+H) 299; HPLC(A) retention time 1.65 min.

To a stirred slurry of N-(tert-butoxycarbonyl)-α-methylalanine (24.39 g, 0.120 mol) and HOBt (18.37 g, 0.120 mol) in methylene chloride at room temperature under argon is added EDAC (22.83 g, 0.120 mol) as a solid over 10 min. The resulting solution is stirred 1 h and then added (filtering through a cotton plug) to a solution of 338G (˜0.120 mol) and N-methylmorpholine (19.79 ml, 0.18 mol) in methylene chloride at room temperature. After stirring 45 h, the reaction mixture was stirred with saturated sodium bicarbonate (200 mL) for 30 min. The phases were separated and the organic extract was washed once with brine, 10% citric acid (at pH3) and once again with brine. The organics were dried over sodium sulfate, filtered, and the filtrate was partially evaporated (to ˜250 mL volume) and ether (˜100 mL) was added. The resulting solids were filtered to give 338H as a colorless solid (30.10. The mother liquors were concentrated and recrystallized from chloroform (50 mL) and hexanes (sufficient to cause cloudiness in the boiling solution) to obtain an additional 3.45 g. Both solids were combined to give 338H (33.55 g). mp 155-157 deg° C. MS (M+H+) 484; HPLC(A) retention time 2.85 min.

To a suspension of 338H (25.63 g, 0.053 mol) in methylene chloride (300 mL) at 0° C. was added pyridine (9.0 mL, 0.111 mol). After 10 min, para-nitrophenyl chloroformate (21.4 g, 0.106 mol) was added slowly under nitrogen and the reaction was slowly warmed to room temperature overnight. The mixture was filtered and the solid cake was rinsed with methylene chloride (100 mL). The filtrate was concentrated in vacuo, ethyl acetate and ether (200 mL, 1:1) were added and the mixture was stirred at room temperature for 30 min. The solids were filtered and the crude solid product was collected. The solid was re-suspended in ethyl acetate and ether (200 mL, 1:1) three times to give 338I as a colorless solid (38.5 g). MS (M+H+) 649; HPLC(A) retention time 3.68 min.

To a suspension of sarcosinamide (2.61 g, 29.6 mmol) in anhydrous THF (250 mL) at 2° C. was added solid 338I (16.0 g, 24.7 mmol) over 10 min. The yellow mixture was stirred at room temperature for 24 h. After concentration, the resulting yellow foamy residue was diluted with ethyl acetate (600 mL) and washed with cold 1N NaOH (7×100 ml), water (100 ml) and dried over magnesium sulfate. The organic layer was concentrated in vacuo to give crude 338J as colorless solid (14.38 g). The material could be further purified by column chromatography, eluting with 10% methanol/methylene chloride to give pure 338J (10.47 g). MS (M+H+) 531; HPLC(A) retention time 3.91 min.

Example 338

HCl gas (67.8 g, 1.86 mol) was bubbled into ice-cold isopropanol (200 mL). The resulting solution was cooled to 5° C. and solid 338J (13.8 g, 23.1 mmol) was added in portions over 5 min. After 30 min at 0° C., the reaction mixture was stirred at room temperature an additional 30 min before concentration in vacuo. The resulting viscous liquid was stirred with isopropanol (100 mL) and the resulting colorless solid was collected by filtration to give 338 (12.65 g). mp 151.4-152.6° C.; MS (M+H+) 498; HPLC(A) retention time 1.723 min.

Example 339

To a stirred slurry of intermediate 338I (37.41 g, 0.058 mol) and triethylamine (12.06 ml, 0.087 mol) in THF (300 ml) at room temperature under argon was added morpholine (5.53 ml, 0.063 mol) over 2 minutes. A yellow solution forms within 5 min and the reaction was stirred overnight. After 15 h, the reaction solution was concentrated in vacuo and re-dissolved in EtOAc (800 mL). The organic layer was washed with saturated sodium bicarbonate (5×125 mL), once with 5% potassium hydrogensulfate (200 mL), brine and once with saturated sodium bicarbonate (100 mL). The organic layer was dried over magnesium sulfate, filtered and concentrated to give a colorless foam, 37.5 g. This material is recrystallized twice from 5:4 ethyl acetate:hexane to give 339A as a colorless solid (30.95 g). mp 104-106° C., MS (M+H+) 597; HPLC(A) retention time 3.58 min.

Example 339

Acetyl chloride (50 ml, 0.637 mol) was added dropwise over 30 min to dry methanol (200 mL) at 0° C. After 30 min, the mixture was warmed to room temperature, stirred 1 h, then added to solid 339A (30.2 g, 0.051 mol). After 4 h, the reaction mixture was concentrated and the resulting colorless amorphous solid was suspended in THF and sonicated for 30 min. Filtration gave a colorless amorphous solid which was dried at 45° C. for 15 h to give 339 (25.75 g). MS (M+H) 497; HPLC(A) retention time 2.73 min. CHN elemental analysis: C25H32N6O{tilde over (5)}2HCl

The following examples were prepared using procedures as described in the general synthetic schemes and working examples above, utilizing the appropriate starting materials as known to those skilled in the art.

Compound HPLC HPLC Retention number Structure Mass M + H Purity (%) (min) 340

512 95 1.73 341

511 95 2.07 342

524 96 2.56 343

455 95 3.33 344

534 97 1.85 345

533 98 2.3 346

523 96 4.10 347

497 97 4.73 348

534 97 4.73

The following examples were prepared using procedures as described in the general synthetic schemes and working examples above, utilizing the appropriate starting materials as known to those skilled in the art.

Compound Mass HPLC HPLC Retention number Structure M + H Purity (%) (min) 349

414 94 2.67 350

437 97 2.13 351

384 99 1.28 352

538 95 2.53 353

552 92 2.70 354

510 92 2.47 355

434 99 2.60 356

526 95 2.60 357

512 95 2.54 358

594 95 3.07 359

538 95 2.68 360

552 95 2.64 361

568 95 3.06 362

495 97 2.35 363

561 90 2.28 364

483 98 2.36 365

384 95 1.96 366

512 95 2.48 367

538 95 2.63 368

511 95 2.71 369

497 95 2.63 370

511 95 2.74 371

497 98 1.87 372

499 95 2.13 373

524 95 1.73 374

521 90 1.77 375

528 98 2.93 376

500 95 1.85 377

452 90 1.78 378

465 95 2.15 379

461 95 1.47 380

404 96 2.74 381

404 97 2.65 382

430 98 2.77 383

513 95 3.12 384

545 95 2.49 385

485 92 2.56 386

485 93 2.55 387

510 92 2.42 388

460 100 2.87 389

372 80  1.51/1.64 390

495 95 3.19 391

499 95 2.86 392

523 95 2.97 393

499 93 2.99 394

499 95 2.81 395

499 95 2.75 396

481 95 3.01 397

523 93 2.20 398

524 97 1.89 399

516 99 2.21 400

533 100 2.40 401

481 95 3.52 402

483 95 3.72 403

469 95 3.59 404

483 95 2.56 405

497 90 2.74 406

483 90 2.56 407

479 90 2.28 408

479 92 1.57 409

507 99 2.04 410

393 98 4.84 411

461 89 2.32 412

502 96 2.34 413

567 90 3.78 414

549 90 3.60 415

499 90 3.08 416

441 90 2.64 417

455 90 2.91 418

454 93 2.37 419

496 94 2.03 420

456 93 2.44 421

408 95 1.87 422

393 97 4.93 423

480 75 2.01 424

494 80 2.00 425

466 80 1.80 426

495 97 1.62 427

495 98 2.31 428

495 98 2.31 429

497 95 2.17 430

467 90 2.00 431

455 93 2.43 432

495 98 2.06 433

469 98 2.07 434

512 90 1.94 435

402 95 2.12 436

533 99 4.18 437

509 98 3.02 438

533 98 4.13 439

562 98 1.98 440

534 96 1.96 441

523 98 3.08 442

496 85 1.45 443

512 96 1.89 444

497 95 2.09 445

498 97 1.75 446

548 98 1.89 447

524 96 1.88 448

521 97 1.38 449

454 96 1.39 450

535 95 1.34 451

538 92 2.26 452

526 94 2.11 453

512 90 2.04 454

512 94 2.02 455

493 98 2.62 456

536 98 2.20 457

535 98 2.19 458

510 90 2.40 459

521 97 460

511 99 3.11 461

512 99 2.76 462

536 96 2.92 463

499 96 2.07 464

461 97 1.58 465

512 89 1.65 466

504 92 2.33 467

503 92 2.66 468

553 94 2.16 469

523 89 1.69 470

469 97 5.71 471

511 97 5.53 472

512 97 4.97 473

526 99 2.09 474

511 98 2.55 475

512 97 2.18 476

469 97 2.62 477

425 97 1.43 478

533 95 2.03 479

512 95 1.71 480

496 95 1.96 481

496 98 1.96 482

435 96 4.41 483

449 99 4.66 484

555 92 3.14 485

555 92 3.12 486

556 92 2.86 487

556 93 2.88 488

493 99 2.26 489

494 99 1.92 490

498 96 1.41 491

497 89 1.79 492

490 99 1.92 493

532 99 1.94 494

485 97 5.83 495

532 99 5.69 496

533 98 5.07 497

518 96 1.97 498

517 90 2.25 499

516 90 2.37 500

515 95 2.68 501

484 95 1.69 502

544 95 2.79 503

543 92 3.01 504

576 96 2.44 505

577 88 2.13 506

427 90 1.76 507

460 100 2.56 508

464 95 1.84 509

525 91 1.59 510

524 90 1.96 511

511 94 2.21 512

540 98 4.73 513

511 99 3.28 514

512 94 2.91 515

538 97 3.10 516

539 99 5.35 517

461 95 0.197/0.97 518

499 99 2.03 519

573 97 2.79 520

574 95 2.58 521

574 93 1.59 522

575 95 0.197/1.21 523

520 95 2.80 524

519 95 3.00 525

490 95 2.00 526

489 95 2.40 527

504 95 2.16 528

503 95 2.45 529

478 92 2.03 530

477 93 2.39 531

384 97 3.21 532

411 98 2.74 533

393 98 3.85 534

513 95 2.17 535

517 95 2.67 536

518 97 2.38 537

544 95 2.47 538

498 92 1.71 539

489 95 3.05 540

490 97 2.67 541

516 97 2.83 542

513 95 2.31 543

514 99 1.87 544

512 90 3.80

The following examples were prepared using procedures as described in Example 90, as well as described in the general synthetic schemes and working examples above, utilizing the appropriate starting materials as known to those skilled in the art.

Compound Mass HPLC HPLC number Structure M + H Purity (%) Retention (min) 545

378 97 3.03 546

496 94 5.67 547

520 94 5.08 548

498 99 5.88 549

523 96 4.10 550

494 98 6.78 551

497 91 4.73 552

496 95 5.19 553

542 96 7.27 554

510 97 3.10 555

510 96 2.85 556

511 98 2.84 557

537 98 2.84 558

521 98 3.56 559

522 97 3.38 560

573 98 2.75 561

572 98 2.97 562

599 97 2.80

The following examples were prepared using procedures as described in Example 92 and Example 93 above, and as described in the general synthetic schemes and working examples above, utilizing the appropriate starting materials as known to those skilled in the art.

Compound Mass HPLC HPLC number Structure M + H Purity (%) Retention (min) 563

583 95 3.09 564

529 95 3.10 565

572 95 3.20 566

575 90 2.61 567

557 84 3.42 568

499 95 2.77 569

575 95 3.40 570

529 97 3.21 571

509 98 2.89 572

516 93 0.19 573

612 95 2.89 574

600 95 2.70 575

536 95 2.60 576

518 95 2.93 577

573 99 2.62 578

560 98 3.43 579

532 95 2.64 580

586 97 3.20 581

545 98 582

586 95 1.99 583

574 99 584

537 90 3.64 585

575 95 2.79 586

575 95 2.80 587

514 97 1.84 588

557 95 2.84 589

494 97 2.85 590

590 98 2.37 591

515 90 2.68

The following examples were prepared using procedures as described in the general synthetic schemes and working examples above, utilizing the appropriate starting materials as known to those skilled in the art.

Compound Mass HPLC HPLC number Structure M + H Purity (%) Retention (min) 592

461 94 3.01 593

503 95 2.39 594

385 95 1.26 595

461 96 2.52 596

371 90 1.26 597

461 97 2.43 598

385 90 1.47 599

503 97 2.00 600

503 98 2.21 601

502 96 2.66 602

504 91 603

530 95 604

530 91 605

490 90 606

461 91 607

372 97 3.03 608

501 98 3.28 609

553 95 610

554 90 611

504 96 1.77 612

518 96 1.85 613

546 90 1.87 614

544 96 2.20 615

505 95 2.26 616

519 95 2.54 617

487 95 618

488 90

The following pro-drug examples were prepared using procedures as described in the general synthetic schemes and working examples above, utilizing the appropriate starting materials as known to those skilled in the art.

Compound Mass HPLC HPLC number Structure M + H Purity (%) Retention (min) 619

539 99 3.27 620

526 92 2.11 621

540 92 2.12 622

628 94 1.81 623

570 94 2.08 624

654 99 3.46 

1. A method for increasing levels of endogenous growth hormone, which comprises administering to a patient in need thereof a therapeutically effective amount of a compound of formula I:

wherein R₁ is a substituted or unsubstituted alkyl; R₂ is a substituted or unsubstituted functional group selected from the group consisting of hydrogen, alkyl aryl, alkenyl, alkynyl, arylalkyl, cycloalkyl, heterocycle, alkoxyalkyl, arylalkyloxyalkyl, aryloxyalkyl, heteroaryl, cycloalkylalkoxyalkyl, heteroarylalkyl and heterocycloalkyl; R₃ and R₄ are each independently a substituted or unsubstituted functional group selected from the group consisting of hydrogen and alkyl, or R₃ and R₄ taken together can form a 4 to 7 membered heterocyclic ring, or one or more of R₃ and R₄ can be taken together with Y to form a 4 to 7 membered heterocyclic ring; R₁′ is a substituted or unsubstituted functional group selected from the group consisting of hydrogen, alkyl, cycloalkyl, heterocycle, aryl and heteroaryl; Y is a linking group selected from the group consisting of alkylene, alkenylene, alkynylene, arylene and heteroarylene, said linking group may optionally be substituted with one or more functional group selected from the group consisting of alkyl, aryl, cycloalkyl, heterocycle, alkoxyalkyl, heteroaryl, arylalkyl, arylalkyloxyalkyl, aryloxyalkyl, cycloalkylalkoxyalkyl, heteroarylalkyl, —OR₅, —OC(O)R₅, —CF₃, —OCF₃, —N(R₅)C(O)R₅′ and —NR₅R₅′; R₅ and R₅′ for each occurrence are each independently selected from the group consisting of hydrogen, alkyl, cycloalkyl, heterocycle and aryl, wherein R₅ and R₅′ for each occurrence may optionally be substituted with one or more Rb; Ra and Rb for each occurrence are each independently selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, halogen, cyano, —CN, aryl, arylalkyl, arylalkenyl, arylalkynyl, cycloalkyl, alkoxy, alkoxyalkyl, aryloxy, aryloxyalkyl, heterocycle, heteroaryl, heteroarylalkyl, —OR₂, —NR₅R₅′, —CF₃, —SO₂R₆, OC(O)R₅, —SO₂NR₆R₆′, —(CH₂)_(m)R₈ and R₉; R₆ and R₆′ for each occurrence are each independently selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, alkylthioalkyl, alkoxyalkyl, aryl, arylalkyl, heterocycle, heteroaryl, heteroarylalkyl, heterocycloalkyl and cycloalkyl, wherein R₆ and R₆′ for each occurrence may optionally be substituted with 1 to 3 substituents selected from the group consisting of halogen, OR₂, alkoxy, heterocycloalkyl, —NR₅C(O)NR₅R₅′, —C(O)NR₅R₅′, —NR₅C(O)R₅′, —CN, —NR₅SO₂R₅′, —OC(O)R₅, —SO₂NR₅R₅′, —SOR₇, —COOH and —C(O)OR₇, or R₆ and R₆′ taken together can be cyclized to form-(CH₂)_(q)X(CH₂)_(s)—, which may optionally be substituted with 1 to 3 substituents selected from the group consisting of halogen, OR₂, alkoxy, heterocycloalkyl, —NR₅C(O)NR₅R₅′, —C(O)NR₅R₅′, —NR₅C(O)R₅′, —CN, —NR₅SO₂R₅′, —OC(O)R₅, —SO₂NR₅R₅′, —SOR₇, —COOH and —C(O)OR₇; R₇ for each occurrence is independently selected from the group consisting of C₁ to C₆ alkyl, aryl and heteroaryl, wherein R₇ may optionally be substituted with —(CH₂)_(w)OH; R₈ is selected from the group consisting of alkoxy, alkoxycarbonyl, —C(O)NR₆R₆′, —NR₅R₅′, —C(O)R₆, —NR₅C(O)NR₅R₅′ and —N-heteroaryl; R₉ is selected from the group consisting of heterocycloalkyl, heteroaryl, —CN, —(CH₂)_(p)N(R₆)C(O)R₆′, —(CH₂)_(p)CN, —(CH₂)_(p)N(R₆)C(O)OR₆′, —(CH₂)_(p)N(R₆)C(O)NR₆R₆′, —(CH₂)_(p)N(R₆)SO₂R₆, —(CH₂)_(p)C(O)NR₆R₆′, —(CH₂)_(p)C(O)OR₆, —(CH₂)_(p)OC(O)OR₆, —(CH₂)_(p)OC(O)R₆, —(CH₂)_(p)OC(O)NR₆R₆′, —(CH₂)_(p)N(R₆)SO₂NR₆R₆′, —(CH₂)_(p)OR₆, —(CH₂)_(p)OC(O)N(R₆)(CH₂)_(m)OH, —(CH₂)_(p)SOR₆ and —(CH₂)_(p)OCH₂C(O)N(R₆)(CH₂)_(m)OH; X is selected from the group consisting of —CR₅R₅′—, —O—, —S—, —SO—, —SO₂—, —NC(O)OR₇—, —NC(O)NR₅— and —NR₅—; m is an integer between 1 and 6; p is an integer from 0 to 5; w is an integer between 0 and 5; and q and s are each independently an integer between 1 and 3, with the proviso that R₅, R₅′, R₆ or R₆′ cannot be hydrogen when either is connected to a carbonyl group or sulfone group.
 2. A method for treating or delaying the progression or onset of HIV wasting syndrome, muscular atrophy, lipodystrophy, long term critical illness, osteoporosis, sarcopenia, frailty or ARFD in the elderly, obesity, renal disease, anorexia, sleep disorders, depression, Syndrome X, diabetes, congestive heart failure, cardiac myopathy, cardiac dysfunction associated with valvular disease and cachexia which comprises administering to a mammalian patient in need of treatment a therapeutically effective amount of a compound of formula I:

wherein R₁ is a substituted or unsubstituted alkyl; R₂ is a substituted or unsubstituted functional group selected from the group consisting of hydrogen, alkyl aryl, alkenyl, alkynyl, arylalkyl, cycloalkyl, heterocycle, alkoxyalkyl, arylalkyloxyalkyl, aryloxyalkyl, heteroaryl, cycloalkylalkoxyalkyl, heteroarylalkyl and heterocycloalkyl; R₃ and R₄ are each independently a substituted or unsubstituted functional group selected from the group consisting of hydrogen and alkyl, or R₃ and R₄ taken together can form a 4 to 7 membered heterocyclic ring, or one or more of R₃ and R₄ can be taken together with Y to form a 4 to 7 membered heterocyclic ring; R₁′ is a substituted or unsubstituted functional group selected from the group consisting of hydrogen, alkyl, cycloalkyl, heterocycle, aryl and heteroaryl; Y is a linking group selected from the group consisting of alkylene, alkenylene, alkynylene, arylene and heteroarylene, said linking group may optionally be substituted with one or more functional group selected from the group consisting of alkyl, aryl, cycloalkyl, heterocycle, alkoxyalkyl, heteroaryl, arylalkyl, arylalkyloxyalkyl, aryloxyalkyl, cycloalkylalkoxyalkyl, heteroarylalkyl, —OR₅, —OC(O)R₅, —CF₃, —OCF₃, —N(R₅)C(O)R₅′ and —NR₅R₅′; R₅ and R₅′ for each occurrence are each independently selected from the group consisting of hydrogen, alkyl, cycloalkyl, heterocycle and aryl, wherein R₅ and R₅′ for each occurrence may optionally be substituted with one or more Rb; Ra and Rb for each occurrence are each independently selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, halogen, cyano, —CN, aryl, arylalkyl, arylalkenyl, arylalkynyl, cycloalkyl, alkoxy, alkoxyalkyl, aryloxy, aryloxyalkyl, heterocycle, heteroaryl, heteroarylalkyl, —OR₂, —NR₅R₅′, —CF₃, —SO₂R₆, OC(O)R₅, —SO₂NR₆R₆′, —(CH₂)_(m)R₈ and R₉; R₆ and R₆′ for each occurrence are each independently selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, alkylthioalkyl, alkoxyalkyl, aryl, arylalkyl, heterocycle, heteroaryl, heteroarylalkyl, heterocycloalkyl and cycloalkyl, wherein R₆ and R₆′ for each occurrence may optionally be substituted with 1 to 3 substituents selected from the group consisting of halogen, OR₂, alkoxy, heterocycloalkyl, —NR₅C(O)NR₅R₅′, —C(O)NR₅R₅′, —NR₅C(O)R₅′, —CN, —NR₅SO₂R₅′, —OC(O)R₅, —SO₂NR₅R₅′, —SOR₇, —COOH and —C(O)OR₇, or R₆ and R₆′ taken together can be cyclized to form —(CH₂)_(q)X(CH₂)_(s)—, which may optionally be substituted with 1 to 3 substituents selected from the group consisting of halogen, OR₂, alkoxy, heterocycloalkyl, —NR₅C(O)NR₅R₅′, —C(O)NR₅R₅′, —NR₅C(O)R₅′, —CN, —NR₅SO₂R₅′, —OC(O)R₅, —SO₂NR₅R₅′, —SOR₇, —COOH and —C(O)OR₇; R₇ for each occurrence is independently selected from the group consisting of C₁ to C₆ alkyl, aryl and heteroaryl, wherein R₇ may optionally be substituted with —(CH₂)_(w)OH; R₈ is selected from the group consisting of alkoxy, alkoxycarbonyl, —C(O)NR₆R₆′, —NR₅R₅′, —C(O)R₆, —NR₅C(O)NR₅R₅′ and —N-heteroaryl; R₉ is selected from the group consisting of heterocycloalkyl, heteroaryl, —CN, —(CH₂)_(p)N(R₆)C(O)R₆′, —(CH₂)_(p)CN, —(CH₂)_(p)N(R₆)C(O)OR₆′, —(CH₂)_(p)N(R₆)C(O)NR₆R₆′, —(CH₂)_(p)N(R₆)SO₂R₆, —(CH₂)_(p)C(O)NR₆R₆′, —(CH₂)_(p)C(O)OR₆, —(CH₂)_(p)OC(O)OR₆, —(CH₂)_(p)OC(O)R₆, —(CH₂)_(p)OC(O)NR₆R₆′, —(CH₂)_(p)N(R₆)SO₂NR₆R₆′, —(CH₂)_(p)OR₆, —(CH₂)_(p)OC(O)N(R₆)(CH₂)_(m)OH, —(CH₂)_(p)SOR₆ and —(CH₂)_(p)OCH₂C(O)N(R₆)(CH₂)_(m)OH; X is selected from the group consisting of —CR₅R₅′—, —O—, —S—, —SO—, —SO₂—, —NC(O)OR₇—, —NC(O)NR₅— and —NR₅—; m is an integer between 1 and 6; p is an integer from 0 to 5; w is an integer between 0 and 5; and q and s are each independently an integer between 1 and 3, with the proviso that R₅, R₅′, R₆ or R₆′ cannot be hydrogen when either is connected to a carbonyl group or sulfone group.
 3. The method according to claim 1 further comprising administering, concurrently or sequentially, a therapeutically effective amount of at least one additional therapeutic agent selected from the group consisting of other compounds of formula I, parathyroid hormone, bisphosphonates, estrogen, testosterone, selective estrogen receptor modulators, selective androgen receptor modulators, progestin receptor agonists, anti-diabetic agents, anti-hypertensive agents, anti-inflammatory agents, anti-osteoporosis agents, anti-obesity agents, cardiac glycosides, cholesterol lowering agents and thyroid mimetics.
 4. A method for stimulating wound healing and/or the immune system which comprises administering to a patient in need thereof a therapeutically effective amount of a compound of formula I:

wherein R₁ is a substituted or unsubstituted alkyl; R₂ is a substituted or unsubstituted functional group selected from the group consisting of hydrogen, alkyl aryl, alkenyl, alkynyl, arylalkyl, cycloalkyl, heterocycle, alkoxyalkyl, arylalkyloxyalkyl, aryloxyalkyl, heteroaryl, cycloalkylalkoxyalkyl, heteroarylalkyl and heterocycloalkyl; R₃ and R₄ are each independently a substituted or unsubstituted functional group selected from the group consisting of hydrogen and alkyl, or R₃ and R₄ taken together can form a 4 to 7 membered heterocyclic ring, or one or more of R₃ and R₄ can be taken together with Y to form a 4 to 7 membered heterocyclic ring; R₁′ is a substituted or unsubstituted functional group selected from the group consisting of hydrogen, alkyl, cycloalkyl, heterocycle, aryl and heteroaryl; Y is a linking group selected from the group consisting of alkylene, alkenylene, alkynylene, arylene and heteroarylene, said linking group may optionally be substituted with one or more functional group selected from the group consisting of alkyl, aryl, cycloalkyl, heterocycle, alkoxyalkyl, heteroaryl, arylalkyl, arylalkyloxyalkyl, aryloxyalkyl, cycloalkylalkoxyalkyl, heteroarylalkyl, —OR₅, —OC(O)R₅, —CF₃, —OCF₃, —N(R₅)C(O)R₅′ and —NR₅R₅′; R₅ and R₅′ for each occurrence are each independently selected from the group consisting of hydrogen, alkyl, cycloalkyl, heterocycle and aryl, wherein R₅ and R₅′ for each occurrence may optionally be substituted with one or more Rb; Ra and Rb for each occurrence are each independently selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, halogen, cyano, —CN, aryl, arylalkyl, arylalkenyl, arylalkynyl, cycloalkyl, alkoxy, alkoxyalkyl, aryloxy, aryloxyalkyl, heterocycle, heteroaryl, heteroarylalkyl, —OR₂, —NR₅R₅′, —CF₃, —SO₂R₆, OC(O)R₅, —SO₂NR₆R₆′, —(CH₂)_(m)R₈ and R₉; R₆ and R₆′ for each occurrence are each independently selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, alkylthioalkyl, alkoxyalkyl, aryl, arylalkyl, heterocycle, heteroaryl, heteroarylalkyl, heterocycloalkyl and cycloalkyl, wherein R₆ and R₆′ for each occurrence may optionally be substituted with 1 to 3 substituents selected from the group consisting of halogen, OR₂, alkoxy, heterocycloalkyl, —NR₅C(O)NR₅R₅′, —C(O)NR₅R₅′, —NR₅C(O)R₅′, —CN, —NR₅SO₂R₅′, —OC(O)R₅, —SO₂NR₅R₅′, —SOR₇, —COOH and —C(O)OR₇, or R₆ and R₆′ taken together can be cyclized to form —(CH₂)_(q)X(CH₂)_(s)—, which may optionally be substituted with 1 to 3 substituents selected from the group consisting of halogen, OR₂, alkoxy, heterocycloalkyl, —NR₅C(O)NR₅R₅′, —C(O)NR₅R₅′, —NR₅C(O)R₅′, —CN, —NR₅SO₂R₅′, —OC(O)R₅, —SO₂NR₅R₅′, —SOR₇, —COOH and —C(O)OR₇; R₇ for each occurrence is independently selected from the group consisting of C₁ to C₆ alkyl, aryl and heteroaryl, wherein R₇ may optionally be substituted with —(CH₂)_(w)OH; R₈ is selected from the group consisting of alkoxy, alkoxycarbonyl, —C(O)NR₆R₆′, —NR₅R₅′, —C(O)R₆, —NR₅C(O)NR₅R₅′ and —N-heteroaryl; R₉ is selected from the group consisting of heterocycloalkyl, heteroaryl, —CN, —(CH₂)_(p)N(R₆)C(O)R₆′, —(CH₂)_(p)CN, —(CH₂)_(p)N(R₆)C(O)OR₆′, —(CH₂)_(p)N(R₆)C(O)NR₆R₆′, —(CH₂)_(p)N(R₆)SO₂R₆, —(CH₂)_(p)C(O)NR₆R₆′, —(CH₂)_(p)C(O)OR₆, —(CH₂)_(p)OC(O)OR₆, —(CH₂)_(p)OC(O)R₆, —(CH₂)_(p)OC(O)NR₆R₆′, —(CH₂)_(p)N(R₆)SO₂NR₆R₆′, —(CH₂)_(p)OR₆, —(CH₂)_(p)OC(O)N(R₆)(CH₂)_(m)OH, —(CH₂)_(p)SOR₆ and —(CH₂)_(p)OCH₂C(O)N(R₆)(CH₂)_(m)OH; X is selected from the group consisting of —CR₅R₅′—, —O—, —S—, —SO—, —SO₂—, —NC(O)OR₇—, —NC(O)NR₅— and —NR₅—; m is an integer between 1 and 6; p is an integer from 0 to 5; w is an integer between 0 and 5; and q and s are each independently an integer between 1 and 3, with the proviso that R₅, R₅′, R₆ or R₆′ cannot be hydrogen when either is connected to a carbonyl group or sulfone group.
 5. A method for increasing muscle mass and/or strength or maintaining muscle strength and function in the elderly which comprises administering to a patient in need thereof a therapeutically effective amount of a compound of formula I:

wherein R₁ is a substituted or unsubstituted alkyl; R₂ is a substituted or unsubstituted functional group selected from the group consisting of hydrogen, alkyl aryl, alkenyl, alkynyl, arylalkyl, cycloalkyl, heterocycle, alkoxyalkyl, arylalkyloxyalkyl, aryloxyalkyl, heteroaryl, cycloalkylalkoxyalkyl, heteroarylalkyl and heterocycloalkyl; R₃ and R₄ are each independently a substituted or unsubstituted functional group selected from the group consisting of hydrogen and alkyl, or R₃ and R₄ taken together can form a 4 to 7 membered heterocyclic ring, or one or more of R₃ and R₄ can be taken together with Y to form a 4 to 7 membered heterocyclic ring; R₁′ is a substituted or unsubstituted functional group selected from the group consisting of hydrogen, alkyl, cycloalkyl, heterocycle, aryl and heteroaryl; Y is a linking group selected from the group consisting of alkylene, alkenylene, alkynylene, arylene and heteroarylene, said linking group may optionally be substituted with one or more functional group selected from the group consisting of alkyl, aryl, cycloalkyl, heterocycle, alkoxyalkyl, heteroaryl, arylalkyl, arylalkyloxyalkyl, aryloxyalkyl, cycloalkylalkoxyalkyl, heteroarylalkyl, —OR₅, —OC(O)R₅, —CF₃, —OCF₃, —N(R₅)C(O)R₅′ and —NR₅R₅′; R₅ and R₅′ for each occurrence are each independently selected from the group consisting of hydrogen, alkyl, cycloalkyl, heterocycle and aryl, wherein R₅ and R₅′ for each occurrence may optionally be substituted with one or more Rb; Ra and Rb for each occurrence are each independently selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, halogen, cyano, —CN, aryl, arylalkyl, arylalkenyl, arylalkynyl, cycloalkyl, alkoxy, alkoxyalkyl, aryloxy, aryloxyalkyl, heterocycle, heteroaryl, heteroarylalkyl, —OR₂, —NR₅R₅′, —CF₃, —SO₂R₆, OC(O)R₅, —SO₂NR₆R₆′, —(CH₂)_(m)R₈ and R₉; R₆ and R₆′ for each occurrence are each independently selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, alkylthioalkyl, alkoxyalkyl, aryl, arylalkyl, heterocycle, heteroaryl, heteroarylalkyl, heterocycloalkyl and cycloalkyl, wherein R₆ and R₆′ for each occurrence may optionally be substituted with 1 to 3 substituents selected from the group consisting of halogen, OR₂, alkoxy, heterocycloalkyl, —NR₅C(O)NR₅R₅′, —C(O)NR₅R₅′, —NR₅C(O)R₅′, —CN, —NR₅SO₂R₅′, —OC(O)R₅, —SO₂NR₅R₅′, —SOR₇, —COOH and —C(O)OR₇, or R₆ and R₆′ taken together can be cyclized to form —(CH₂)_(q)X(CH₂)_(s)—, which may optionally be substituted with 1 to 3 substituents selected from the group consisting of halogen, OR₂, alkoxy, heterocycloalkyl, —NR₅C(O)NR₅R₅′, —C(O)NR₅R₅′, —NR₅C(O)R₅′, —CN, —NR₅SO₂R₅′, —OC(O)R₅, —SO₂NR₅R₅′, —SOR₇, —COOH and —C(O)OR₇; R₇ for each occurrence is independently selected from the group consisting of C₁ to C₆ alkyl, aryl and heteroaryl, wherein R₇ may optionally be substituted with —(CH₂)_(w)OH; R₈ is selected from the group consisting of alkoxy, alkoxycarbonyl, —C(O)NR₆R₆′, —NR₅R₅′, —C(O)R₆, —NR₅C(O)NR₅R₅′ and —N-heteroaryl; R₉ is selected from the group consisting of heterocycloalkyl, heteroaryl, —CN, —(CH₂)_(p)N(R₆)C(O)R₆′, —(CH₂)_(p)CN, —(CH₂)_(p)N(R₆)C(O)OR₆′, —(CH₂)_(p)N(R₆)C(O)NR₆R₆′, —(CH₂)_(p)N(R₆)SO₂R₆, —(CH₂)_(p)C(O)NR₆R₆′, —(CH₂)_(p)C(O)OR₆, —(CH₂)_(p)OC(O)OR₆, —(CH₂)_(p)OC(O)R₆, —(CH₂)_(p)OC(O)NR₆R₆′, —(CH₂)_(p)N(R₆)SO₂NR₆R₆′, —(CH₂)_(p)OR₆, —(CH₂)_(p)OC(O)N(R₆)(CH₂)_(m)OH, —(CH₂)_(p)SOR₆ and —(CH₂)_(p)OCH₂C(O)N(R₆)(CH₂)_(m)OH; X is selected from the group consisting of —CR₅R₅′—, —O—, —S—, —SO—, —SO₂—, —NC(O)OR₇—, —NC(O)NR₅— and —NR₅—; m is an integer between 1 and 6; p is an integer from 0 to 5; w is an integer between 0 and 5; and q and s are each independently an integer between 1 and 3, with the proviso that R₅, R₅′, R₆ or R₆′ cannot be hydrogen when either is connected to a carbonyl group or sulfone group.
 6. A method of increasing lean body mass which comprises administering to a patient in need thereof a therapeutically effective amount of a compound of formula I:

wherein R₁ is a substituted or unsubstituted alkyl; R₂ is a substituted or unsubstituted functional group selected from the group consisting of hydrogen, alkyl aryl, alkenyl, alkynyl, arylalkyl, cycloalkyl, heterocycle, alkoxyalkyl, arylalkyloxyalkyl, aryloxyalkyl, heteroaryl, cycloalkylalkoxyalkyl, heteroarylalkyl and heterocycloalkyl; R₃ and R₄ are each independently a substituted or unsubstituted functional group selected from the group consisting of hydrogen and alkyl, or R₃ and R₄ taken together can form a 4 to 7 membered heterocyclic ring, or one or more of R₃ and R₄ can be taken together with Y to form a 4 to 7 membered heterocyclic ring; R₁′ is a substituted or unsubstituted functional group selected from the group consisting of hydrogen, alkyl, cycloalkyl, heterocycle, aryl and heteroaryl; Y is a linking group selected from the group consisting of alkylene, alkenylene, alkynylene, arylene and heteroarylene, said linking group may optionally be substituted with one or more functional group selected from the group consisting of alkyl, aryl, cycloalkyl, heterocycle, alkoxyalkyl, heteroaryl, arylalkyl, arylalkyloxyalkyl, aryloxyalkyl, cycloalkylalkoxyalkyl, heteroarylalkyl, —OR₅, —OC(O)R₅, —CF₃, —OCF₃, —N(R₅)C(O)R₅′ and —NR₅R₅′; R₅ and R₅′ for each occurrence are each independently selected from the group consisting of hydrogen, alkyl, cycloalkyl, heterocycle and aryl, wherein R₅ and R₅′ for each occurrence may optionally be substituted with one or more Rb; Ra and Rb for each occurrence are each independently selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, halogen, cyano, —CN, aryl, arylalkyl, arylalkenyl, arylalkynyl, cycloalkyl, alkoxy, alkoxyalkyl, aryloxy, aryloxyalkyl, heterocycle, heteroaryl, heteroarylalkyl, —OR₂, —NR₅R₅′, —CF₃, —SO₂R₆, OC(O)R₅, —SO₂NR₆R₆′, —(CH₂)_(m)R₈ and R₉; R₆ and R₆′ for each occurrence are each independently selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, alkylthioalkyl, alkoxyalkyl, aryl, arylalkyl, heterocycle, heteroaryl, heteroarylalkyl, heterocycloalkyl and cycloalkyl, wherein R₆ and R₆′ for each occurrence may optionally be substituted with 1 to 3 substituents selected from the group consisting of halogen, OR₂, alkoxy, heterocycloalkyl, —NR₅C(O)NR₅R₅′, —C(O)NR₅R₅′, —NR₅C(O)R₅′, —CN, —NR₅SO₂R₅′, —OC(O)R₅, —SO₂NR₅R₅′, —SOR₇, —COOH and —C(O)OR₇, or R₆ and R₆′ taken together can be cyclized to form —(CH₂)_(q)X(CH₂)_(s)—, which may optionally be substituted with 1 to 3 substituents selected from the group consisting of halogen, OR₂, alkoxy, heterocycloalkyl, —NR₅C(O)NR₅R₅′, —C(O)NR₅R₅′, —NR₅C(O)R₅′, —CN, —NR₅SO₂R₅′, —OC(O)R₅, —SO₂NR₅R₅′, —SOR₇, —COOH and —C(O)OR₇; R₇ for each occurrence is independently selected from the group consisting of C₁ to C₆ alkyl, aryl and heteroaryl, wherein R₇ may optionally be substituted with —(CH₂)_(w)OH; R₈ is selected from the group consisting of alkoxy, alkoxycarbonyl, —C(O)NR₆R₆′, —NR₅R₅′, —C(O)R₆, —NR₅C(O)NR₅R₅′ and —N-heteroaryl; R₉ is selected from the group consisting of heterocycloalkyl, heteroaryl, —CN, —(CH₂)_(p)N(R₆)C(O)R₆′, —(CH₂)_(p)CN, —(CH₂)_(p)N(R₆)C(O)OR₆′, —(CH₂)_(p)N(R₆)C(O)NR₆R₆′, —(CH₂)_(p)N(R₆)SO₂R₆, —(CH₂)_(p)C(O)NR₆R₆′, —(CH₂)_(p)C(O)OR₆, —(CH₂)_(p)OC(O)OR₆, —(CH₂)_(p)OC(O)R₆, —(CH₂)_(p)OC(O)NR₆R₆′, —(CH₂)_(p)N(R₆)SO₂NR₆R₆′, —(CH₂)_(p)OR₆, —(CH₂)_(p)OC(O)N(R₆)(CH₂)_(m)OH, —(CH₂)_(p)SOR₆ and —(CH₂)_(p)OCH₂C(O)N(R₆)(CH₂)_(m)OH; X is selected from the group consisting of —CR₅R₅′—, —O—, —S—, —SO—, —SO₂—, —NC(O)OR₇—, —NC(O)NR₅— and —NR₅—; m is an integer between 1 and 6; p is an integer from 0 to 5; w is an integer between 0 and 5; and q and s are each independently an integer between 1 and 3, with the proviso that R₅, R₅′, R₆ or R₆′ cannot be hydrogen when either is connected to a carbonyl group or sulfone group.
 7. A method for improving cognitive function which comprises administering to a patient in need thereof a therapeutically effective amount of a compound of formula I:

wherein R₁ is a substituted or unsubstituted alkyl; R₂ is a substituted or unsubstituted functional group selected from the group consisting of hydrogen, alkyl aryl, alkenyl, alkynyl, arylalkyl, cycloalkyl, heterocycle, alkoxyalkyl, arylalkyloxyalkyl, aryloxyalkyl, heteroaryl, cycloalkylalkoxyalkyl, heteroarylalkyl and heterocycloalkyl; R₃ and R₄ are each independently a substituted or unsubstituted functional group selected from the group consisting of hydrogen and alkyl, or R₃ and R₄ taken together can form a 4 to 7 membered heterocyclic ring, or one or more of R₃ and R₄ can be taken together with Y to form a 4 to 7 membered heterocyclic ring; R₁′ is a substituted or unsubstituted functional group selected from the group consisting of hydrogen, alkyl, cycloalkyl, heterocycle, aryl and heteroaryl; Y is a linking group selected from the group consisting of alkylene, alkenylene, alkynylene, arylene and heteroarylene, said linking group may optionally be substituted with one or more functional group selected from the group consisting of alkyl, aryl, cycloalkyl, heterocycle, alkoxyalkyl, heteroaryl, arylalkyl, arylalkyloxyalkyl, aryloxyalkyl, cycloalkylalkoxyalkyl, heteroarylalkyl, —OR₅, —OC(O)R₅, —CF₃, —OCF₃, —N(R₅)C(O)R₅′ and —NR₅R₅′; R₅ and R₅′ for each occurrence are each independently selected from the group consisting of hydrogen, alkyl, cycloalkyl, heterocycle and aryl, wherein R₅ and R₅′ for each occurrence may optionally be substituted with one or more Rb; Ra and Rb for each occurrence are each independently selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, halogen, cyano, —CN, aryl, arylalkyl, arylalkenyl, arylalkynyl, cycloalkyl, alkoxy, alkoxyalkyl, aryloxy, aryloxyalkyl, heterocycle, heteroaryl, heteroarylalkyl, —OR₂, —NR₅R₅′, —CF₃, —SO₂R₆, OC(O)R₅, —SO₂N₆R₆′, —(CH₂)_(m)R₈ and R₉; R₆ and R₆′ for each occurrence are each independently selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, alkylthioalkyl, alkoxyalkyl, aryl, arylalkyl, heterocycle, heteroaryl, heteroarylalkyl, heterocycloalkyl and cycloalkyl, wherein R₆ and R₆′ for each occurrence may optionally be substituted with 1 to 3 substituents selected from the group consisting of halogen, OR₂, alkoxy, heterocycloalkyl, —NR₅C(O)NR₅R₅′, —C(O)NR₅R₅′, —NR₅C(O)R₅′, —CN, —NR₅SO₂R₅′, —OC(O)R₅, —SO₂NR₅R₅′, —SOR₇, —COOH and —C(O)OR₇, or R₆ and R₆′ taken together can be cyclized to form —(CH₂)_(q)X(CH₂)_(s)—, which may optionally be substituted with 1 to 3 substituents selected from the group consisting of halogen, OR₂, alkoxy, heterocycloalkyl, —NR₅C(O)NR₅R₅′, —C(O)NR₅R₅′, —NR₅C(O)R₅′, —CN, —NR₅SO₂R₅′, —OC(O)R₅, —SO₂NR₅R₅′, —SOR₇, —COOH and —C(O)OR₇; R₇ for each occurrence is independently selected from the group consisting of C₁ to C₆ alkyl, aryl and heteroaryl, wherein R₇ may optionally be substituted with —(CH₂)_(w)OH; R₈ is selected from the group consisting of alkoxy, alkoxycarbonyl, —C(O)NR₆R₆′, —NR₅R₅′, —C(O)R₆, —NR₅C(O)NR₅R₅′ and —N-heteroaryl; R₉ is selected from the group consisting of heterocycloalkyl, heteroaryl, —CN, —(CH₂)_(p)N(R₆)C(O)R₆′, —(CH₂)_(p)CN, —(CH₂)_(p)N(R₆)C(O)OR₆′, —(CH₂)_(p)N(R₆)C(O)NR₆R₆′, —(CH₂)_(p)N(R₆)SO₂R₆, —(CH₂)_(p)C(O)NR₆R₆′, —(CH₂)_(p)C(O)OR₆, —(CH₂)_(p)OC(O)OR₆, —(CH₂)_(p)OC(O)R₆, —(CH₂)_(p)OC(O)NR₆R₆′, —(CH₂)_(p)N(R₆)SO₂NR₆R₆′, —(CH₂)_(p)OR₆, —(CH₂)_(p)OC(O)N(R₆)(CH₂)_(m)OH, —(CH₂)_(p)SOR₆ and —(CH₂)_(p)OCH₂C(O)N(R₆)(CH₂)_(m)OH; X is selected from the group consisting of —CR₅R₅′—, —O—, —S—, —SO—, —SO₂—, —NC(O)OR₇—, —NC(O)NR₅— and —NR₅—; m is an integer between 1 and 6; p is an integer from 0 to 5; w is an integer between 0 and 5; and q and s are each independently an integer between 1 and 3, with the proviso that R₅, R₅′, R₆ or R₆′ cannot be hydrogen when either is connected to a carbonyl group or sulfone group.
 8. A method for improving the immune response to vaccination which comprises administering to a patient in need thereof a therapeutically effective amount of a compound of formula I:

wherein R₁ is a substituted or unsubstituted alkyl; R₂ is a substituted or unsubstituted functional group selected from the group consisting of hydrogen, alkyl aryl, alkenyl, alkynyl, arylalkyl, cycloalkyl, heterocycle, alkoxyalkyl, arylalkyloxyalkyl, aryloxyalkyl, heteroaryl, cycloalkylalkoxyalkyl, heteroarylalkyl and heterocycloalkyl; R₃ and R₄ are each independently a substituted or unsubstituted functional group selected from the group consisting of hydrogen and alkyl, or R₃ and R₄ taken together can form a 4 to 7 membered heterocyclic ring, or one or more of R₃ and R₄ can be taken together with Y to form a 4 to 7 membered heterocyclic ring; R₁′ is a substituted or unsubstituted functional group selected from the group consisting of hydrogen, alkyl, cycloalkyl, heterocycle, aryl and heteroaryl; Y is a linking group selected from the group consisting of alkylene, alkenylene, alkynylene, arylene and heteroarylene, said linking group may optionally be substituted with one or more functional group selected from the group consisting of alkyl, aryl, cycloalkyl, heterocycle, alkoxyalkyl, heteroaryl, arylalkyl, arylalkyloxyalkyl, aryloxyalkyl, cycloalkylalkoxyalkyl, heteroarylalkyl, —OR₅, —OC(O)R₅, —CF₃, —OCF₃, —N(R₅)C(O)R₅′ and —NR₅R₅′; R₅ and R₅′ for each occurrence are each independently selected from the group consisting of hydrogen, alkyl, cycloalkyl, heterocycle and aryl, wherein R₅ and R₅′ for each occurrence may optionally be substituted with one or more Rb; Ra and Rb for each occurrence are each independently selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, halogen, cyano, —CN, aryl, arylalkyl, arylalkenyl, arylalkynyl, cycloalkyl, alkoxy, alkoxyalkyl, aryloxy, aryloxyalkyl, heterocycle, heteroaryl, heteroarylalkyl, —OR₂, —NR₅R₅′, —CF₃, —SO₂R₆, OC(O)R₅, —SO₂N₆R₆′, —(CH₂)_(m)R₈ and R₉; R₆ and R₆′ for each occurrence are each independently selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, alkylthioalkyl, alkoxyalkyl, aryl, arylalkyl, heterocycle, heteroaryl, heteroarylalkyl, heterocycloalkyl and cycloalkyl, wherein R₆ and R₆′ for each occurrence may optionally be substituted with 1 to 3 substituents selected from the group consisting of halogen, OR₂, alkoxy, heterocycloalkyl, —NR₅C(O)NR₅R₅′, —C(O)NR₅R₅′, —NR₅C(O)R₅′, —CN, —NR₅SO₂R₅′, —OC(O)R₅, —SO₂NR₅R₅′, —SOR₇, —COOH and —C(O)OR₇, or R₆ and R₆′ taken together can be cyclized to form —(CH₂)_(q)X(CH₂)_(s)—, which may optionally be substituted with 1 to 3 substituents selected from the group consisting of halogen, OR₂, alkoxy, heterocycloalkyl, —NR₅C(O)NR₅R₅′, —C(O)NR₅R₅′, —NR₅C(O)R₅′, —CN, —NR₅SO₂R₅′, —OC(O)R₅, —SO₂NR₅R₅′, —SOR₇, —COOH and —C(O)OR₇; R₇ for each occurrence is independently selected from the group consisting of C₁ to C₆ alkyl, aryl and heteroaryl, wherein R₇ may optionally be substituted with —(CH₂)_(w)OH; R₈ is selected from the group consisting of alkoxy, alkoxycarbonyl, —C(O)NR₆R₆′, —NR₅R₅′, —C(O)R₆, —NR₅C(O)NR₅R₅′ and —N-heteroaryl; R₉ is selected from the group consisting of heterocycloalkyl, heteroaryl, —CN, —(CH₂)_(p)N(R₆)C(O)R₆′, —(CH₂)_(p)CN, —(CH₂)_(p)N(R₆)C(O)OR₆′, —(CH₂)_(p)N(R₆)C(O)NR₆R₆′, —(CH₂)_(p)N(R₆)SO₂R₆, —(CH₂)_(p)C(O)NR₆R₆′, —(CH₂)_(p)C(O)OR₆, —(CH₂)_(p)OC(O)OR₆, —(CH₂)_(p)OC(O)R₆, —(CH₂)_(p)OC(O)NR₆R₆′, —(CH₂)_(p)N(R₆)SO₂NR₆R₆′, —(CH₂)_(p)OR₆, —(CH₂)_(p)OC(O)N(R₆)(CH₂)_(m)OH, —(CH₂)_(p)SOR₆ and —(CH₂)_(p)OCH₂C(O)N(R₆)(CH₂)_(m)OH; X is selected from the group consisting of —CR₅R₅′—, —O—, —S—, —SO—, —SO₂—, —NC(O)OR₇—, —NC(O)NR₅— and —NR₅—; m is an integer between 1 and 6; p is an integer from 0 to 5; w is an integer between 0 and 5; and q and s are each independently an integer between 1 and 3, with the proviso that R₅, R₅′, R₆ or R₆′ cannot be hydrogen when either is connected to a carbonyl group or sulfone group.
 9. A method for accelerating the recovery of hip fracture which comprises administering to a patient in need thereof a therapeutically effective amount of a compound of formula I:

wherein R₁ is a substituted or unsubstituted alkyl; R₂ is a substituted or unsubstituted functional group selected from the group consisting of hydrogen, alkyl aryl, alkenyl, alkynyl, arylalkyl, cycloalkyl, heterocycle, alkoxyalkyl, arylalkyloxyalkyl, aryloxyalkyl, heteroaryl, cycloalkylalkoxyalkyl, heteroarylalkyl and heterocycloalkyl; R₃ and R₄ are each independently a substituted or unsubstituted functional group selected from the group consisting of hydrogen and alkyl, or R₃ and R₄ taken together can form a 4 to 7 membered heterocyclic ring, or one or more of R₃ and R₄ can be taken together with Y to form a 4 to 7 membered heterocyclic ring; R₁′ is a substituted or unsubstituted functional group selected from the group consisting of hydrogen, alkyl, cycloalkyl, heterocycle, aryl and heteroaryl; Y is a linking group selected from the group consisting of alkylene, alkenylene, alkynylene, arylene and heteroarylene, said linking group may optionally be substituted with one or more functional group selected from the group consisting of alkyl, aryl, cycloalkyl, heterocycle, alkoxyalkyl, heteroaryl, arylalkyl, arylalkyloxyalkyl, aryloxyalkyl, cycloalkylalkoxyalkyl, heteroarylalkyl, —OR₅, —OC(O)R₅, —CF₃, —OCF₃, —N(R₅)C(O)R₅′ and —NR₅R₅′; R₅ and R₅′ for each occurrence are each independently selected from the group consisting of hydrogen, alkyl, cycloalkyl, heterocycle and aryl, wherein R₅ and R₅′ for each occurrence may optionally be substituted with one or more Rb; Ra and Rb for each occurrence are each independently selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, halogen, cyano, —CN, aryl, arylalkyl, arylalkenyl, arylalkynyl, cycloalkyl, alkoxy, alkoxyalkyl, aryloxy, aryloxyalkyl, heterocycle, heteroaryl, heteroarylalkyl, —OR₂, —NR₅R₅′, —CF₃, —SO₂R₆, OC(O)R₅, —SO₂N₆R₆′, —(CH₂)_(m)R₈ and R₉; R₆ and R₆′ for each occurrence are each independently selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, alkylthioalkyl, alkoxyalkyl, aryl, arylalkyl, heterocycle, heteroaryl, heteroarylalkyl, heterocycloalkyl and cycloalkyl, wherein R₆ and R₆′ for each occurrence may optionally be substituted with 1 to 3 substituents selected from the group consisting of halogen, OR₂, alkoxy, heterocycloalkyl, —NR₅C(O)NR₅R₅′, —C(O)NR₅R₅′, —NR₅C(O)R₅′, —CN, —NR₅SO₂R₅′, —OC(O)R₅, —SO₂NR₅R₅′, —SOR₇, —COOH and —C(O)OR₇, or R₆ and R₆′ taken together can be cyclized to form —(CH₂)_(q)X(CH₂)_(s)—, which may optionally be substituted with 1 to 3 substituents selected from the group consisting of halogen, OR₂, alkoxy, heterocycloalkyl, —NR₅C(O)NR₅R₅′, —C(O)NR₅R₅′, —NR₅C(O)R₅′, —CN, —NR₅SO₂R₅′, —OC(O)R₅, —SO₂NR₅R₅′, —SOR₇, —COOH and —C(O)OR₇; R₇ for each occurrence is independently selected from the group consisting of C₁ to C₆ alkyl, aryl and heteroaryl, wherein R₇ may optionally be substituted with —(CH₂)_(w)OH; R₈ is selected from the group consisting of alkoxy, alkoxycarbonyl, —C(O)NR₆R₆′, —NR₅R₅′, —C(O)R₆, —NR₅C(O)NR₅R₅′ and —N-heteroaryl; R₉ is selected from the group consisting of heterocycloalkyl, heteroaryl, —CN, —(CH₂)_(p)N(R₆)C(O)R₆′, —(CH₂)_(p)CN, —(CH₂)_(p)N(R₆)C(O)OR₆′, —(CH₂)_(p)N(R₆)C(O)NR₆R₆′, —(CH₂)_(p)N(R₆)SO₂R₆, —(CH₂)_(p)C(O)NR₆R₆′, —(CH₂)_(p)C(O)OR₆, —(CH₂)_(p)OC(O)OR₆, —(CH₂)_(p)OC(O)R₆, —(CH₂)_(p)OC(O)NR₆R₆′, —(CH₂)_(p)N(R₆)SO₂NR₆R₆′, —(CH₂)_(p)OR₆, —(CH₂)_(p)OC(O)N(R₆)(CH₂)_(m)OH, —(CH₂)_(p)SOR₆ and —(CH₂)_(p)OCH₂C(O)N(R₆)(CH₂)_(m)OH; X is selected from the group consisting of —CR₅R₅′—, —O—, —S—, —SO—, —SO₂—, —NC(O)OR₇—, —NC(O)NR₅— and —NR₅—; m is an integer between 1 and 6; p is an integer from 0 to 5; w is an integer between 0 and 5; and q and s are each independently an integer between 1 and 3, with the proviso that R₅, R₅′, R₆ or R₆′ cannot be hydrogen when either is connected to a carbonyl group or sulfone group. 